Sixty seven intertrochanteric fractures Were stabilized with a135 angled DHS
and tow to six –hole side Plate between February 2006 and February 2011. -
53 patients were operated on in Rahba hospital in Abu Dhabi –UAE , while 14 patients
operated on in Hilla Teaching Hospital In Babylon –Iraq..
Tow patients were not walking preoperatively were excluded. And three were having a
co existing medical problems for that had transferred to other facilities and lost from
follow up .
Only 62 Patients were available for regular 6 week follow up visits until the fracture
was shown to be healed .A fracture was considered healed by the presence of Painless
walking and absence of fracture tenderness.-
There were 30 male and 37 female patients. The Mean age was 58 years.
.The surgery was Performed by the standard technique of DHS insertion.
Perioperative antibiotic was routinely administered. a prophylaxis for deep vein
thrombosis was prescribed pre operatively & until patients started mobilization.

All patients were encouraged to walk as soon as possible after removal of the drain,
usually on the second day after the operation. The patients were assessed at 6 week
intervals for both clinical and radiological union of the fracture.