Treatment of subtrochanteric fractures with the AO dynamic condylar screw

Evaluation of proximal femoral locking plate in unstable extracapsular proximal femoral fractures: Surgical technique & mid term follow up results

“…The complication rate for unstable fractures treated with a DHS or a DCS plate has shown to be as high as 3e15%. 13 Furthermore, dynamic hip screw or dynamic condylar screw plates, 14 when used in unstable proximal femur fractures, cannot adequately prevent a secondary limb shortening after weight bearing due to lateralization of the head/neck fragment from gliding along the screw .Several authors propose use of anti-rotation screw or trochanteric stabilization plate in unstable fractures. The use of cephalomedullary nails when compared to dynamic hip screw exhibits increased stability while no difference was observed in operating time and intraoperative complication rate.…”

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

“…4,7,17,19 Open reduction of subtrochanteric fractures is associated with 17 to 23% of non-unions, with 29% of patients needing bone grafting. 1,4,20 Indirect reduction enables faster healing, lower nonunion and infection rates, earlier full weight bearing, and avoids bone grafting. 4,7 In our study, 100% union rate was achieved without bone grafting (p<0.001, Chi squared test, Table), which is similar to other series with union 7,8,16,21 This is because stripping of the soft tissues around the lateral cortex is minimal and the vitality of the medial fragment is not compromised further.…”

“…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. 16 The DCS is placed more proximally in the greater trochanter.…”

Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)

“…[2,[29][30][31][32][33] However, Vaidya et al [34] reported that plate-screw fixation resulted in shorter operation time and less blood loss. In our study, blood loss, duration of operation and fluoroscopy usage time were similar in both groups because both techniques were performed via small incisions, and fluoroscope was used only for fracture reduction.…”