الفهرس 
Anatomy of the Femur
Muscles Controlling the HipOnly 14 pages are availabe for public view
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Abstract
The elderly are disproportionately affected by the rising prevalence of intertrochanteric fractures. Managing volatile personalities is more difficult. Treatment for these fractures focuses on achieving precise realignment and rigid fixation to facilitate speedy recovery and return to normal activity following surgical intervention. In managing an intertrochanteric fracture, picking the right implant is critical. Considering fracture stability is crucial when selecting an implant. Despite being the go-to for stable intertrochanteric fractures, additional like DHS have a high failure rate in unstable fractures and need more time and dissection in surgery. Intramedullary implants such as the Gamma III nail could be used to create a strong skeleton with minimal risk of failure, invasive surgery, blood loss, and operative time. This research aimed to examine the radiological and clinical results of using a Dynamic hip screw against a Gamma nail of the third generation for the treatment of intertrochanteric fractures. Thirty-four people who had suffered intertrochanteric fractures were analysed in this study. Patients were selected at random for this trial, and those who had been treated with GAMMA Nail followed by DHS were all operated on within the first two weeks after damage. A total of 34 patients, 17 in each group, underwent surgery utilising GAMMA Nail and DHS; 17 cases were handled by DHS (group I) and 17 cases were handled by GAMMA Nail (group ). Additionally, 3 cases were missing; one was treated with DHs and the other two with GAMMA Nail. Six months of data will be collected on each patient beginning in January 2022 and ending in May 2023. The data showed clearly that there was a disparity between the sexes in the two groups, with 10 women and 7 men making up group I and 9 women and 8 men making up group II. In group I, housewives accounted for 47% of the population, followed by retirees (35%), those still employed (11.8%), and those who did not work (4.9%). In group II, retirees accounted for 41% of the population, followed by housewives (47%). (35.3 percent ). The majority of patients in both groups had lesions on their right sides (70.62 and 52.94 percent, respectively), but there was no statistically significant difference between the two groups. group I had 13 patients who were injured in simple falls (S.F.) and only 4 patients who were injured in road traffic accidents (RTA), while group II had 5 patients who were injured in RTAs and 12 patients who were injured in falls (S.F.) (F.D) The patients with no major medical history numbered 8 in group I and 7 in group II, demonstrating that there were no statistically significant differences between the two groups based on medical history. Nine patients in group I had DM & HTN, while 10 patients in-group II had DM & HTN. The discrepancies were not statistically significant; functional grading showed 14 satisfactory outcomes and only 3 unsatisfactory results for group I, and 15 satisfactory results and only 2 unsatisfactory results for group II. It’s important to note that a good union is considered satisfying, whereas a poor union is considered unsatisfactory. There was no statistically significant difference in the amount of time it took for union to occur between groups I and II, with 76.5% of patients in each needing less than 12 weeks. All operating metrics showed insignificant variations. The correlation between smoking and wedding date was statistically significant in group I but not in group II. Functional outcomes were compared between the two methods. Results were rated as excellent or poor based on their functional and anatomical significance. When comparing the functional and anatomical outcomes of the two methods, the results showed no statistically significant differences. There were no statistically significant differences in outcomes based on either age or gender, while there was a marginally significant association between functional outcomes an in group one.