Valgus Reduction with Dynamic Hip Screw : The Answer to Unstable Peritrochanteric Fractures

Peritrochanteric fractures are common problems in elderly patients [1]. Operative treatment permits early mobilization and minimizes complications of prolonged recumbency [2]. Peritrochanteric fractures are treated with both extramedullary and intramedullary devices [3]. Each device has its own advantages and disadvantages. The advantage of extramedullary fixation such as dynamic hip screw (DHS) is relatively simple surgical technique, which is safe and very forgiving [3]. DHS remains the implant of choice because of its favorable results and low rate of non-union or hardware failure [4, 5] still high cut out rates (5-17%) have been reported in the literature which has led to the rise of intramedullary fixation for these fractures [4, 6, 7]. Moreover, osteoporosis, associated with trochanteric fractures in elderly patients, not only enhances the risk of fracture but also represents a problem in osteo synthesis of fractures in Department Of Orthopedics, Subharti Medical College, Meerut , India