Iatrogenic non-penetrating arterial injuries have been reported following primary and revision hip arthroplasties. We report a patient who developed acute limb ischaemia after dynamic hip screw fixation was performed for an unstable intertrochanteric fracture. We discuss a previously unreported mechanism of traction creating tension on the atherosclerosed vessels and medial retraction tenting a...

PURPOSE To assess the one-year outcome of a dynamic hip screw (DHS) blade in the treatment of AO/OTA 31-A1 and 31-A2 intertrochanteric hip fractures. METHODS 35 men and 65 women aged 47 to 100 (mean, 83) years underwent fixation with a DHS blade for A1 (n=47) and A2 (n=53) intertrochanteric hip fractures after a low-energy injury. Patients were operated on within 48 hours of admission. Antero...

Background: Fracture neck of femur has always presented a great challenge to orthopedic surgeons due its nature going into non-union and osteonecrosis femoral head even with the best fixation method adequate reduction. Treatment fracture varies according patient’s age pattern. Purpose this study was compare outcome DHS side plate de-rotation screw multiple cannulated hip screws in adult.
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A preliminary study of acoustic emission during orthopaedic screw fixation was performed using polyurethane foam as the bone-simulating material. Three sets of screws, a dynamic hip screw, a small fragment screw and a large fragment screw, were investigated, monitoring acoustic-emission activity during the screw tightening. In some specimens, screws were deliberately overtightened in order to i...

Background. Intertrochanteric fractures of the proximal femur are one of the most common fractures encountered, and dynamic hip screw with a side plate is the standard treatment. We compared a minimally invasive surgical technique with the conventional surgical technique used in the fixation of intertrochanteric fractures with the dynamic hip screw (DHS) device. Methods. Thirty patients with su...

A preliminary study of Acoustic Emission during orthopaedic screw fixation was performed using polyurethane foam as the bone-simulating material. Three sets of screws, a Dynamic Hip Screw, a small fragment screw and a large fragment screw were investigated, monitoring acoustic emission activity during the screw tightening. Some specimens were overtightened on purpose to investigate the possibil...

Introduction Proximal femur is the common site for localization of benign bone lesions, and the diagnosis is often delayed and potentially challenging due to their atypical presentations. Early diagnosis is difficult as intra-articular lesions often present with clinical and radiological features of inflammatory synovitis in the joint. Case Report Two patients of intra-articular osteoid osteo...

Kerala Journal of Orthopaedics 2012;25:6-13 Introduction Surgical stabil isation of the intertrochanteric fracture is the optimal treatment today, except in patients with medical problems in whom surgery is contraindicated (1). The goal of surgery is to provide fracture stability to allow early mobilisation and some weightbearing. The introduction of the Dynamic Hip Screw was a quantum leap in ...

INTRODUCTION Sustaining an intracapsular fracture in a hip which was previously fixed with dynamic hip screw for extracapsular fracture, is a very rarely reported occurrence. We present one such case in order to discuss the presentation and management of this fracture. We have also reviewed the literature and pooled the previously reported cases to look at potential cause & risk factors. CASE...