Plate can break during use (when subjected to excessive forces). This site needs JavaScript to work properly. To determine functional outcome in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw… Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization plates underlines a persistent quest for a better implant. doi: 10.1016/S0020-1383(17)30498-9. 3 (3):206-13. . [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice. USA.gov. These Injury. Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. Dynamic Condylar Screw Plate Warnings. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. MATERIALS AND METHODS | MATERIAL AND METHODS This study was conducted in the Post- … NLM Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. The DCS plate is now inserted and seated with the impactor. Five patients died before fracture healing. The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. Keywords: Subtrochanteric nonunion, Pseudarthrosis, DCS, Dynamic condylar screw, Intramedullary nailing, Hardware failure Background Subtrochanteric femoral fractures account for approxi-mately 25% of all hip fractures and have a bimodal age and sex distribution [1]. Dynamic Condylar Screw Fixation for Comminuted Proximal Femur Fractures INTRODUCTION: Comminuted fractures of proximal femur account for 7 to 15% of all hip fractures and are especially seen in the young age group where trauma plays a major role.1 These fractures in the subtrochanteric area are usually difficult to treat as the femur here consists Twenty-two patients were available for follow-up study, with an average time of … Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. To determine operative risk in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. Purpose. The Dynamic Condylar Screw (DCS; Synthes, Bettlach, Switzerland) has been designed for the internal fixation of fractures of the distal and subtrochanteric regions of the femur and has superior biomechanical properties compared to the blade plate [23,24,25]. doi: 10.1016/S0020-1383(17)30498-9. OBJECTIVE: To compare the biomechanical characteristics of the less invasive stabilization system (LISS) and the dynamic condylar screw (DCS) in the fixation of subtrochanteric fractures of the femur so as to provide theoretical basis for choosing internal fixator in clinical application. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … All cases were treated using the principles of strict indirect reduction to achieve anatomic alignment rather than anatomic reduction, with no bone grafting, and delayed weight bearing. fracture which have a prognostic importance and are of benefit in planning treatment. Summary Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Please enable it to take advantage of the complete set of features! Arch Orthop Trauma Surg. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95 degree dynamic condylar screw between 1982 and 1985. Would you like email updates of new search results? Strong The DCS plates are made of 316L stainless steel and are cold-worked for strength. All fractures were classified according to the radiographic criteria of Seinsheimer. like dynamic condylar screw(DCS) since wider exposure is needed for the later. Thirty-one patients with subtrochanteric fractures were treated with the dynamic condylar screw using biological principles between October 1995 and February 1999. NLM Ten out of 11 young patients, (nine with high-energy injuries), united primarily. HHS The mean age of the patients was 32.6 years (range 14–45 years). The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Arch Orthop Trauma Surg. This study was conducted to evaluate the results of fixation of this device in our Scenario . 29 men and 14 women aged 25 to 65 (mean, 44) years with comminuted subtrochanteric femoral fractures underwent indirect reduction and mini-incision DCS fixation. While the surgeon must make the final decision on removal of the broken part based on associated risk in doing so, we recommend that whenever possible and practical for the individual patient, the broken part should be removed. Maximum number of patients were in the 20–40 years age group. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). One should aim to have at least five screw holes distal to the fracture since one needs eight cortices of screw purchase to ensure adequate fixation. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. Purpose.To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures.Methods.29 men and 14 women aged 25 to 65 (mean, 44) years with comminuted subtrochanteric femoral fractures underwent indirect reduction and mini-incision DCS fixation. COVID-19 is an emerging, rapidly evolving situation. The overall union rate was 93.7% (15 of 16). A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. Using the DCS with the indirect reduction method and delayed weight bearing is an acceptable choice in subtrochanteric femur fractures with greater trochanteric involvement when other adequate implants are not available for stable fixation. The inclusion criteria was closed subtrochanteric fractures in adults of both gender aged 20 years or above; pathological fractures and open fractures were excluded from the study. Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. 2. HHS 29 men and 14 women aged 25 to 65 (mean, 44) years with comminuted subtrochanteric femoral fractures underwent indirect reduction and mini-incision DCS fixation. NIH The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. Unfallchirurg. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. implant is ideal for all the Subtrochanteric fractures. Injury. Complications of subtrochanteric fracture management are, non-union, implant failure, malunion, and wound infections. Five patients died before fracture healing. | To study the results of 48 patients with subtrochanteric fractures of the femur, treated surgically with fixation by dynamic hip screw [DHS] in 25 patients [52%], and by dynamic condylar screw [DCS] in 23 patients [48%], at Al-Razi Orthopaedic Hospital in the period between January 1990 and June 1995. | 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. 2003 Feb. 34 (2):123-8. . Twenty-two patients were available for follow-up study, with an average time of 23.8 mo [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Injury. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. The overall union rate was 93.7% (15 of 16). Stable The two holes closest to the barrel accept 6.5 mm cancellous bone screws. All cases were treated using the principles of strict indirect reduction to achieve anatomic alignment rather than anatomic reduction, with no bone grafting, and delayed weight bearing. In osteoporotic bone, five screws (10 cortices) are advised. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. Clipboard, Search History, and several other advanced features are temporarily unavailable. Please enable it to take advantage of the complete set of features! Dynamic Condylar Screw (DCS Screw) is designed to provide strong and stable internal fixation of certain distal femoral and subtrochanteric fractures, with minimal soft tissue irritation. All cases were treated using the principles of strict indirect reduction to achieve anatomic alignment rather than anatomic reduction, with no bone grafting, and delayed weight bearing. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. COVID-19 is an emerging, rapidly evolving situation. Although this device was designed for use in the distal femur, it has features which make it attractive for use in subtrochanteric fractures. Our purpose was to assess this implant as a panacea for subtrochanteric fractures. subtrochanteric fractures and use of AO dynamic condylar screw (DCS), in their management. All fractures were classified according to the radiographic criteria of Seinsheimer. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. [Current status of therapy of subtrochanteric femoral fractures]. Summary . All cases were treated using the principles of strict indirect reduction to achieve anatomic alignment rather than anatomic reduction, with no bone grafting, and delayed weight bearing. NIH in various Subtrochanteric fracture patterns. USA.gov. [Current status of therapy of subtrochanteric femoral fractures]. 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. Methods. We studied the dynamic condylar screw DCS as an implant on a series of 30 consecutive patients with subtrochanteric fractures. There were 28 males and 3 female patients. J Orthop Trauma. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Various implants used to address these fractures are 95 degree blade plate, 95 degree dynamic condylar screw, reconstruction nails and proximal femoral locking plate. 1989. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Unfallchirurg. In 2003- Vaidya SV., Dholakia DB., Chatterjee A.32 demonstrated the use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. The Dynamic Condylar Screw is designed to provide strong and stable internal fixation of certain distal femoral and subtrochanteric fractures, with minimal soft tissue irritation. Vaidya SV, Dholakia DB, Chatterjee A. All cases were treated using the principles of strict indirect reduction to achieve anatomic alignment rather than anatomic reduction, with no bone grafting, and delayed weight bearing. To determine the complications involved in the management of Subtrochanteric fractures. In 2000-Kulkarni SS, Moran CG.31 studied the use of dynamic condylar screw for subtrochanteric fractures. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. 3. Clipboard, Search History, and several other advanced features are temporarily unavailable. Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. All cases of AO type A and B were anatomically fixed, whereas type C was biologically plated. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). 2017 Aug;48 Suppl 2:S72-S77. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. dynamic condylar screw. Injury. 2017 Aug;48 Suppl 2:S72-S77. The length of the plate is determined by the extent of the fracture. Would you like email updates of new search results? A study was designed to examine the outcomes of patients with closed comminuted subtrochanteric femoral fractures fixed with a dynamic condylar screw (DCS) and using biological (indirect) reduction techniques at a tertiary referral centre.Thirty-one consecutive patients with a mean age of 32.6 years, who sustained subtrochanteric femoral fractures, were treated with this method. | | This site needs JavaScript to work properly. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. | To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. All cases were treated using the principles of strict indirect reduction to achieve anatomic alignment rather than anatomic reduction, with no bone grafting, and delayed weight bearing. Methods. [5,6] DCS act as static and rigid implant in pure subtrochanteric fractures whereas biomechanical changes One unique case of implant failure with varus nonunion was encountered following repeat trauma. Intra-medullary devices require less surgical exposure, en-able early weight bearing, achieve better proximal fixation and exert less biomechanical stresses. The me… 1994;113(3):138-41. doi: 10.1007/BF00441620. Five patients died before fracture healing. Keywords: Condylar screw, hip screw, reconstruction nail Introduction Subtrochanteric fractures of the femur account for 10–34% of all hip fractures [1]. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. Injury. Using the DCS with the indirect reduction method and delayed weight bearing is an acceptable choice in subtrochanteric femur fractures with greater trochanteric involvement when other adequate implants are not available for stable fixation. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. subtrochanteric fractures. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. After fixation of fractures with dynamic condylar screw system patients were followed -up for 6-12 months, the mean follow up period was 8 months. We have used dynamic condylar screw fixation to stabilize subtrochanteric fractures in our set –up. The A.O dynamic condylar screw provide strong fixation in the cancellous bone of the neck and head with considerable rotational stability6. One unique case of implant failure with varus nonunion was encountered following repeat trauma. 1994;113(3):138-41. doi: 10.1007/BF00441620. 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