Minimally Invasive Dynamic Hip Screw (MIDHS) Fixation

Outcomes of minimally invasive osteosynthesis of intertrochanteric fractures with dynamic hip screw: A prospective case series

“…22 Although many internal fixation devices are available, the DHS is considered the standard fixation method of intertrochanteric hip fractures, providing rigid fixation and ideal compression of the fracture site with a high union rate. 15,23,24 Nevertheless, treatment success depends primarily on some factors, such as age, time from fracture to surgery, and handling of soft tissues. 15,25,26 Traditional DHS surgery requires a wide surgical exposure, with the disadvantages of a large skin incision, significant soft tissue damage, bleeding, and postoperative pain.…”

“…15,23,24 Nevertheless, treatment success depends primarily on some factors, such as age, time from fracture to surgery, and handling of soft tissues. 15,25,26 Traditional DHS surgery requires a wide surgical exposure, with the disadvantages of a large skin incision, significant soft tissue damage, bleeding, and postoperative pain. 27,28 It is recommended that minimally invasive surgeries, such as using intramedullary nails, be used to avoid these complications.…”

“…1,14 The DHS with a side plate is a commonly used device in the internal fixation of these fractures with the advantage of controlled collapse and compression at the fracture site. 6,15 However, the traditional DHS surgery requires a wide surgical exposure and is associated with considerable soft-tissue damage and blood loss, with muscle stripping and resultant postoperative pain, which may delay the postoperative full-weight-bearing mobilization. 15,16 As elderly people usually experience significant comorbidities and functional deficits, intertrochanteric fractures require a less traumatic method of osteosynthesis.…”

“…6,15 However, the traditional DHS surgery requires a wide surgical exposure and is associated with considerable soft-tissue damage and blood loss, with muscle stripping and resultant postoperative pain, which may delay the postoperative full-weight-bearing mobilization. 15,16 As elderly people usually experience significant comorbidities and functional deficits, intertrochanteric fractures require a less traumatic method of osteosynthesis. 3,17 The goal of the study was to evaluate the outcomes of a minimally invasive technique of DHS fixation of intertrochanteric fractures, with insertion of the lag screw and side plate through a miniincision.…”