DHS LEG SCREW
Dynamic Hip Screw is designed to provide strong and stable internal fixation of a variety of intertrochanteric, subtrochanteric and basilar neck fractures, with minimal soft tissue irritation.
Our Dynamic Hip Screw are made from finest quality medical grade material (Titanium and SS 316L) to ensure highest quality. Different sizes of Screws are:
Specification
- 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm, 110mm, 115mm, 120mm, 125mm, 130mm, 135mm, 140mm, 145mm and 150mm.
FEMORAL NECK FRACTURE ORIF WITH DYNAMIC HIP SCREW PRINCIPLES
Displaced transcervical and subcapital fractures are unstable. Their prognosis is by and large the same and they will be discussed as one group for the purpose of manner of reduction and choice of fixation, should internal fixation be chosen as the method of treatment.
If added rotational stability is desired in addition to the Dynamic Hip Screw, a cannulated screw is inserted above and parallel in both planes to the Dynamic Hip Screw plate. It must be parallel in order not to block the sliding property of the implant.
Positioning of the patient
The patient is positioned supine on the fracture table for closed reduction. The ipsilateral arm is elevated in a sling and the contralateral uninjured leg is placed on a leg holder.
If closed reduction is not successful the patient may be transferred to a conventional table for open reduction.
C-Arm image intensifier control during surgery is a must.
Approaches for open reduction
For this procedure the following approaches may be used for open reduction:
- Anterolateral approach
- Iliofemoral approach