The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture

Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

“…The mean number of radiation exposures was 12 (range, [8][9][10][11][12][13][14][15][16]. The mean time to full weight bearing was 11 (range, [8][9][10][11][12][13][14][15][16][17][18][19] weeks. The mean follow-up period was 25 (range, 18-30) months.…”

“…The mean follow-up period was 25 (range, 18-30) months. The mean time to union was 16 (range, [13][14][15][16][17][18][19][20][21][22] weeks. Seven patients had a mean limb length discrepancy of 1.5 (range, 1-2) cm (5 shortening, 2 lengthening).…”

“…8 Nonetheless, CBP insertion may be technically demanding as it requires 3-plane alignments. 16 DCS is easier to insert (over a previously positioned guide pin) and requires only 2-plane alignment. 1,20,25 It facilitates implant rotation after sliding under the vastus lateralis during indirect reduction and enables sagittal alignment by rotation of the plate-DCS construct.…”

“…15 Dynamic condylar screws (DCS) simplify fixation and require less-exacting technique than CBPs. 16 We aimed to review the results of indirect reduction and mini-incision DCS fixation for comminuted subtrochanteric femoral fractures.…”

Fixation of Subtrochantric Fractures Using Distal Femoral Locking Compression Plate of Contralateral Side

“…Therefore, evaluation of their results is difficult and controversial especially for subtrochanteric fractures. The dynamic compression hip screw (DHS) has been a popular method of internal fixation for subtrochanteric fractures [13][14][15][16][17] . It provides compression along the femoral neck, and if the reduced fracture is stable, load-sharing between the bone and implant can occur [18] .…”