Objective: This study aimed to evaluate the functional outcomes of a combination of  Dynamic hip screw (DHS) with Trochanter stabilization plate (TSP) in the management of unstable inter-trochanteric fracture.

Method: This study included 30 patients with unstable intertrochanteric femur fractures admitted to the Orthopaedic department at UPUMS, Saifai, Etawah, Uttar Pradesh. The fracture were managed using DHS fixation in combination with TSP, which extends proximally from the side plate to provides lateral buttress support to the trochanteric segment. Functional outcomes were evaluated by using the Salvati-Wilson score.

Results: At 03-month follow-up, the mean Salvati Wilson score was 20.80 ± 3.51,  by 6 months, the mean score was 28.27 ± 4.81, increasing to  34.00 ± 2.40  at 12 months and  36.00 ± 2.83 at 18 months. Significant improvement was observed between 3 and 12 month (p<0.001). Union was achieved in 93.3% of patients, while 6.7% experienced malunion. Time to union varied : 33.3% of patients healed within 16 weeks, 26.7% within 12 or 14 weeks, and 13.3% within 18 weeks. Post opertative complication were minimal, with 76.7% of patients reporting none. Superficial wound infection occurred in 10%, hardware impingement in 6.7%, and deep woumd infection or screw backout in 3.3% each. Functional outcomes were rated as excellent in 83.3% of patients, good in 10%, and fair in 6.75%.