The positioning of the patient on the fracture table is critical to the successful reduction and operative fixation of hip fractures which are fixed using the dynamic hip screw system (DHS). There is a standard setup which is commonly used with relative ease. Yet the positioning of patients with amputations either above or below knee of the affected side can pose a significant challenge. We des...

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 In this study, we compared the outcome of using DHS or LCP in intertrochanteric fractures. MATERIALS AND METHODS This cross-sectional study was...

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 f...

Pseudoaneurysms and hemorrhage of the profunda femoris artery (PFA) are rare injuries and have been reported following trauma or orthopedic procedures performed in the proximal femur [1–4]. Pseudoaneurysms or hemorrhage of the PFA following dynamic hip screw fixation (DHS) for an intertrochanteric femoral fracture constitutes 0.2% of all PFA injury cases [5]. Presentation may be acute or delaye...

Objective: To evaluate the importance of tip apex distance in implant failure intertrochanteric fracture femur treated with Dynamic hip screw, so that optimum should maintain to decrease DHS. Study Design: It was a descriptive cross sectional study. Setting and Duration: Patients were selected from orthopedic unit Nishtar Hospital, Multan, July 2020 June 2021. Methodology: All patients meeting ...

Per-trochanteric (4 Part) fractures of femur are commonest in elderly people. The incidence is expected to increase in the coming years, with an ageing population resulting in a greater number of traumatic injuries in patients with osteoporotic bone. DHS fixation is gold standard modality for treatment of such fractures. Various implants used for such fractures are 1) DHS Sliding compression sc...

To the Editor: We read with interest the article by Dhamangaonkar et al.1 May the authors clarify the following points. 1. A dynamic hip screw (DHS) with fixed angle locking screws reduces the risk of implant failure, particularly for patients with osteoporotic bone or less stable fracture configurations.2 Why did the authors compare a proximal femoral locking plate with a non-locking 135o DHS?...

BACKGROUND The purpose of this study was to compare the period of union, functional outcomes and complications of patients with femoral neck fracture treated with percutaneous cannulated screws versus dynamic hip screw (DHS). METHODS Sixty-six patients with femoral neck fracture were treated with percutaneous cannulated screws (n=33) or with DHS (n=33) between August 1999 and October 2003. Fu...

BACKGROUND Hip fractures are common injuries that result in blood loss and frequently require the transfusion of blood products. We sought to identify risk factors leading to increased blood transfusion in patients presenting with hip fractures, especially those factors that are modifiable. METHODS We retrospectively reviewed the cases of all patients who had fixation of their hip fractures b...