The management of comminuted unstable intertrochanteric fractures.

A modification of the medial displaced osteotomy and fixation technique of Dimon and Hughston for the operative management of unstable comminuted intertrochanteric fractures of the hip using a sliding compression screw-plate combination was performed in seventy-two patients who were followed more than twelve months after operation. Sixty-seven fractures progressed to rapid union with good valgus reduction maintained. Sixty patients were allowed full weight-bearing on the affected extremity within eight days of the operation. The average time to fracture union in this group was three and one-half months.