Comparison of Gamma Nail Versus Dynamic Hip Screw for the Treatment of Unstable Intertrochanteric Fractures

The objective of the study is to examine the treatment of unstable Intertrochanteric fractures with the short Gamma nail, compared to the use of the dynamic hip screw (DHS).

This is a prospective study. Sixty patients with unstable Intertrochanteric fractures will be randomized to be treated using either Gamma nail or DHS. The patients will be followed for 12 months. The primary endpoint is the clinical outcome as measured by the Merle d'Aubigne and Postelhip score.

Inclusion Criteria:

• Acute Intertrochanteric fracture - A1-32 AO/OTA
• Abbreviated mental score >6
• Community ambulator (pre-fracture state)

Exclusion Criteria:

• Previous arthritis
• Pathological fracture
• Chronic corticosteroid use
• Concomitant lower extremity fractures