Background: Intertrochanteric femoral fractures are common in the elderly and contribute to significant morbidity. Dynamic Hip Screw (DHS) fixation remains a widely used and cost-effective treatment, though outcomes depend on both patient factors and perioperative parameters. Aim: To assess how perioperative factors and patient characteristics influence clinical and functional outcomes after DHS fixation. Methods 7.7% screw cut-out). HHS was significantly associated with bone density (p = 0.04) and tip–apex distance (p = 0.003). Conclusion: DHS fixation provides predictable union, favorable functional outcomes, and low complication rates. Better bone quality and optimal screw positioning (TAD ≤25 mm) were key predictors of improved recovery.
Diba et al. (Fri,) studied this question.