background: intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. dynamic hip screw (dhs) is still considered the gold standard for treating intertrochanteric fractures by many. not many studies compare the dhs with proximal femoral nail (pfn), in type ii intertrochanteric ...

PURPOSE We aimed to evaluate and compare the clinical and functional outcomes of dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) treatment of AO type 1 intertrochanteric fractures in elderly patients. MATERIALS AND METHODS We retrospectively reviewed 194 consecutive patients with type A1 intertrochanteric femoral fractures who were treated with DHS (n=113) or PFNA (n=81)...

abstract we report a 71 year-old patient with intertrochanteric fracture who had been managed with dhs and her healed fracture complicated by a subcapital femoral neck fracture. a subcapital femoral neck fracture complicating a healed intertrochanteric fracture is rare but catastrophic event. such cases are managed in a hetereogenous manner, i.e. there exists a mixture of cases treated by eithe...

This study aimed to present the mechanical performance evaluation of the dynamic hip screw (DHS) for trochanteric fracture by means of finite element method. The analyses were performed based on stainless steel and titanium implant material definitions at various stages of bone healing and including implant removal. The assessment of the mechanical performance used two parameters, von Mises str...

Dynamic hip screw fixation is a common orthopaedic procedure and to date, still can cause difficulties to the senior trauma surgeon. We present a case where an extra-capsular fracture of the proximal femur was managed with a dynamic hip screw (DHS) fixation. She proceeded to the operating theatre, where the fracture was stabilized with a 75-mm DHS and short-barrelled plate. The implant position...

Background: The aim of this article is to introduce a novel technique of limited dynamic hip screw (LDHS) in the treatment of intertrochanteric fractures and to evaluate its biomechanical effects. Material/Methods: Based on the principle of providing both dynamic and static pressure to stabilize the fracture, we improved the dynamic hip screw (DHS) and designed the LDHS. Six fresh cadavers were...

conclusions despite the complications of fixation with the dhs device, it remains the most successful for treatment of intertrochanteric fractures. background according to the existing literature, the dynamic hip screw (dhs) is the preferred standard for the treatment of intertrochanteric fractures. however, some surgeons use other devices such as the locking compression plate (lcp). objectives...