Table of Contents
What is DHS fracture?
Dynamic hip screw x-ray [image from wikimedia] The Dynamic Hip Screw (DHS) or Sliding Hip Screw can be used as a fixation for neck of femur fractures. This would usually be considered for fractures that occur outside the hip capsule (extracapsular), often stable intertrochaneric fractures.
What is a subtrochanteric fracture of femur?
Subtrochanteric (ST) femur fractures are defined as fractures of the proximal femur that occur within 5 cm of the lesser trochanter. 1. Overall, the incidence of these fractures has been estimated to be approximately 15–20 per 100,000 individuals.
How do you fix a subtrochanteric fracture?
A subtrochanteric fracture is treated with an intramedullary hip screw. No lateral buttress exists in a subtrochanteric fracture and, therefore, sliding hip screws with side plates provide poor fixation. After surgery for a hip fracture, weightbearing should be allowed as tolerated.
What is the difference between DHS and DCS?
DCS, initially designed for fixation of distal femoral fractures, have also been applied to fix proximal femoral fractures in recent years. DHS is used as “golden standard” for intertrochanteric fractures treatment. The main difference between these 2 implants is the angle of the lag screw with respect to the plate.
How long is rehab after hip fracture surgery?
However, most patients will spend at least 4 to 6 weeks in intensive rehabilitation therapy to get back on their feet after a hip fracture. In some cases, healing and rehabilitation may take several months – generally 3 to 6 if partial or total joint replacement has been performed.
Where is a subtrochanteric fracture?
Subtrochanteric fractures are proximal femur fractures located within 5 cm of the lesser trochanter that may occur in low energy (elderly) or high energy (young patients) mechanisms.
Is subtrochanteric fracture a hip fracture?
Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter. Subtrochanteric hip fracture is a break between the lesser trochanter and the area approximately 5 centimeters below the lesser trochanter.
What is DHS hip surgery?
Dynamic hip screw (DHS) or Sliding Screw Fixation is a type of orthopaedic implant designed for fixation of certain types of hip fractures which allows controlled dynamic sliding of the femoral head component along the construct.