Percutaneous dynamic hip screw

Waters, Thaddeus; Gibbs, Dmr; Powles, D. P.; Dorrell, JH

doi:10.1016/j.injury.2007.01.016

Cited by 3 publications

(5 citation statements)

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“…Also, Melton JL et al mentioned that the annual rate of intertrochanteric fractures in elderly female was about 63 per 100,000 while in male was 34 per 100,000 in United States [15] . Slightly longer mean operating time of 43 mins for MIDHS in our study can be explained by difficulty in barrel plate manipulation to fit the inserted lag screw through smaller incision when compared to study done by Michael et al which showed mean operating time of 39 minutes whereas other studies showed mean operating time of more than 55 minutes [16][17][18] . Similarly, mean intraoperative blood loss was only 122 mL in our study but it ranges from 225 mL to 495 mL in various studies [19][20][21][22][23] .…”

Section: Discussioncontrasting

confidence: 66%

“…Angiographic study of the proximal femur revealed that the distance from the Vastus Lateralis ridge to the first branch is from 8 to 9.3 cm and thus, is considered as safe vascular zone for the minimally invasive DHS technique where a 3-5 cm incision is made and the proximal site of the incision is approximately 3 to 4 cm below this ridge. Therefore, blood loss in our study is minimal as compared to other studies with less tissue dissection for fracture exposure [24][25][26] . Reduction in postoperative haemoglobin was also insignificant when compared preoperative haemoglobin value with the haemoglobin value of 1st postoperative day.…”

Section: Discussionmentioning

confidence: 94%

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Minimal Invasive Dynamic Hip Screw Fixation for Intertrochanteric Fractures of Femur

Kandel

Pathak

Singh

et al. 2016

International Journal of Orthopaedics

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nonunion, implant cut out, joint infection, delayed union and varus deformity was not observed in any of these patients. Moreover, Harris Hip Score showed good functional outcome. CONCLUSION: Fixation of DHS with minimal invasive technique for stable hip fracture has good functional outcome in cost effective way with fewer incidences of complications resulting in great advantage over the conventional method of fixation. INTRODUCTIONHip fractures are leading cause of death and disability among the elderly. Proximal femoral fracture accounts 30% of all hospital admissions with mortality of 15-20% worldwide. Among these, trochanteric fractures are around four times more with female predominance. Treatment goals for these populations include early rehabilitation, restoration of the anatomic alignment of the proximal part of femur and maintenance of fracture reduction [1][2][3][4] . Though resistance augmented Baixauli plates, Medroff plates, trochanteric stabilizing plates, percutaneous compression plates and intra medullary devices are focused on unstable inter-trochantric fracture, it is now almost universally accepted that internal fixation is the best method in which fixation with Dynamic Hip Screw (DHS) is considered as the standard one [5][6][7][8][9] . In the last decade, minimal invasive DHS (MIDHS) technique offered a better outcome compared to conventional approach, while maintaining equal fixation stability. The experimental basis of minimal invasive surgery is based on the fact that nutrient artery gives 2/3 rd of the blood supply to the bone, and 1/3 rd comes from the periosteum inflow [3] . So, this study which was conducted to ascertain the short term

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Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 94%

Minimal Invasive Dynamic Hip Screw Fixation for Intertrochanteric Fractures of Femur

Kandel

Pathak

Singh

et al. 2016

International Journal of Orthopaedics

View full text Add to dashboard Cite

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“…In elderly patients with medical comorbidities, reducing surgical trauma and operative time is beneficial in reducing postoperative morbidity and mortality in those patients. 27,32 The minimally invasive DHS fixation of intertrochanteric fractures has been reported with good outcomes in prior studies. 3,23,33,34 Minimally invasive DHS fixation can avoid the possible drawbacks of the traditional method of DHS, such as substantial soft-tissue dissection, blood loss, postoperative pain level, and prolonged hospital stay.…”

Section: Discussionmentioning

confidence: 99%

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

Shams

Fayiek

Abosalem

et al. 2022

Journal of Clinical Orthopaedics and Trauma

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“…Existen varios estudios prospectivos aleatorizados comparando ambas técnicas 13,[16][17][18][19][20][21] . Alobaid 13 fue uno de los pioneros en la técnica MIDHS.…”

Section: Discussionunclassified

“…En su artículo, además de describir la técnica paso por paso, argumenta el porqué la zona descrita es segura desde el punto de vista vascular y realiza un estudio en 48 pacientes, observando menor sangrado y menor tiempo quirúrgico a favor del MIDHS con diferencias estadísticamente significativas (p < 0,001) y una tendencia a un menor requerimiento analgésico (p > 0,05). Waters 19 en un estudio en 13 pacientes vuelve a observar un menor sangrado, introduciendo la posibilidad de que esto podría implicar una mejor evolución clínica en estos pacientes. Recientemente se realizó un metaanálisis por Cheng et al 22 .…”

Section: Discussionunclassified

Técnica DHS mínimamente invasiva: menor tiempo quirúrgico con similares resultados en el postoperatorio inmediato respecto al DHS convencional. Estudio retrospectivo de cohortes

Méndez-Gil

Fernández-Valencia

Plaza-García

et al. 2014

Revista Española de Cirugía Ortopédica y Traumatología

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Cómo citar este artículo: Méndez-Gil A, et al. Técnica DHS mínimamente invasiva: menor tiempo quirúrgico con similares resultados en el postoperatorio inmediato respecto al DHS convencional. ResumenObjetivos: El tratamiento de fracturas pertrocantéreas con clavo DHS (Dynamic Hip Screw) mediante técnica mínimamente invasiva (MIDHS) ha mostrado resultados superiores a la técnica convencional (CDHS) en estudios previos. El presente estudio pretende determinar si existen diferencias en requerimientos transfusionales, morbilidad, estancia hospitalaria y en el coste asociado, a partir de un análisis retrospectivo de 2 cohortes. Material y método: Estudio de cohortes en 80 pacientes con fracturas intertrocantéreas de fémur (31-A1 y 31-A2.1) tratados con implante DHS entre julio de 2005 y septiembre de 2007: 40 de ellos con la técnica convencional y 40 de ellos con técnica MIDHS. Resultados: No se observaron diferencias estadísticamente significativas ni en la pérdida sanguínea, ni en requerimientos transfusionales, ni en morbilidad. La estancia hospitalaria en el grupo MIDHS fue 1,3 días menor, con un coste directo de 306,3 D por caso, inferior al grupo CDHS, aunque sin significación estadística (p = 0,3). La duración de la intervención fue menor en el grupo MIDHS: 49,3 versus 78,8 min (p = 0,0001). Discusión: Contrariamente a lo publicado en estudios previos, en el presente estudio la técnica MIDHS no ha mostrado ventajas excepto por requerir un menor tiempo para realizar la técnica. Consideramos que la técnica MIDHS podría ayudar en mejorar la productividad y eficiencia en el uso de quirófanos. © 2013 SECOT. Publicado por Elsevier España, S.L. Todos los derechos reservados. * Autor para correspondencia.

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Percutaneous dynamic hip screw

Cited by 3 publications

References 0 publications

Minimal Invasive Dynamic Hip Screw Fixation for Intertrochanteric Fractures of Femur

Minimal Invasive Dynamic Hip Screw Fixation for Intertrochanteric Fractures of Femur

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

Técnica DHS mínimamente invasiva: menor tiempo quirúrgico con similares resultados en el postoperatorio inmediato respecto al DHS convencional. Estudio retrospectivo de cohortes

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