Injury. There were 28 males and 3 female patients. 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. MATERIAL AND METHODS This study was conducted in the Post- … The overall union rate was 93.7% (15 of 16). subtrochanteric fractures and use of AO dynamic condylar screw (DCS), in their management. We studied the dynamic condylar screw DCS as an implant on a series of 30 consecutive patients with subtrochanteric fractures. One unique case of implant failure with varus nonunion was encountered following repeat trauma. 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. Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. Clipboard, Search History, and several other advanced features are temporarily unavailable. Twenty-two patients were available for follow-up study, with an average time of … 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. subtrochanteric fractures. Methods. Please enable it to take advantage of the complete set of features!  |  We have used dynamic condylar screw fixation to stabilize subtrochanteric fractures in our set –up.  |  2. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Arch Orthop Trauma Surg. Stable The two holes closest to the barrel accept 6.5 mm cancellous bone screws. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … doi: 10.1016/S0020-1383(17)30498-9. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Five patients died before fracture healing. 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. Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. 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. Thirty-one patients with subtrochanteric fractures were treated with the dynamic condylar screw using biological principles between October 1995 and February 1999. Injury. NLM 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. Keywords: Condylar screw, hip screw, reconstruction nail Introduction Subtrochanteric fractures of the femur account for 10–34% of all hip fractures [1]. To determine operative risk in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw. 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 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. To determine functional outcome in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw… In osteoporotic bone, five screws (10 cortices) are advised. Unfallchirurg. implant is ideal for all the Subtrochanteric fractures. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95 degree dynamic condylar screw between 1982 and 1985. Five patients died before fracture healing. 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. 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. Vaidya SV, Dholakia DB, Chatterjee A. Unfallchirurg. [Current status of therapy of subtrochanteric femoral fractures]. Although this device was designed for use in the distal femur, it has features which make it attractive for use in subtrochanteric fractures. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Five patients died before fracture healing. Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. This site needs JavaScript to work properly. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. 1994;113(3):138-41. doi: 10.1007/BF00441620. in various Subtrochanteric fracture patterns. To determine the complications involved in the management of Subtrochanteric fractures. The me… Methods. Clipboard, Search History, and several other advanced features are temporarily unavailable. Would you like email updates of new search results? [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. This study was conducted to evaluate the results of fixation of this device in our Scenario . 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. All fractures were classified according to the radiographic criteria of Seinsheimer. 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 of the femur: reduction on the traction table and fixation with dynamic condylar screw. 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/. Ten out of 11 young patients, (nine with high-energy injuries), united primarily.  |  All fractures were classified according to the radiographic criteria of Seinsheimer. Dynamic Condylar Screw Plate Warnings. fracture which have a prognostic importance and are of benefit in planning treatment. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Treatment of subtrochanteric fractures with the AO dynamic condylar screw. COVID-19 is an emerging, rapidly evolving situation. The mean age of the patients was 32.6 years (range 14–45 years). 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]. All cases of AO type A and B were anatomically fixed, whereas type C was biologically plated. Strong The DCS plates are made of 316L stainless steel and are cold-worked for strength. 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]. [Current status of therapy of subtrochanteric femoral fractures]. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. Purpose. One unique case of implant failure with varus nonunion was encountered following repeat trauma. 2017 Aug;48 Suppl 2:S72-S77. 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. 1994;113(3):138-41. doi: 10.1007/BF00441620. Injury.  |  The overall union rate was 93.7% (15 of 16). [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. 1989. USA.gov. The length of the plate is determined by the extent of the fracture. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. 3. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. Maximum number of patients were in the 20–40 years age group. The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. doi: 10.1016/S0020-1383(17)30498-9. Complications of subtrochanteric fracture management are, non-union, implant failure, malunion, and wound infections. MATERIALS AND METHODS 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 of the femur: reduction on the traction table and fixation with dynamic condylar screw. 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. Intra-medullary devices require less surgical exposure, en-able early weight bearing, achieve better proximal fixation and exert less biomechanical stresses. NIH 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/. These 3 (3):206-13. . Our purpose was to assess this implant as a panacea for subtrochanteric fractures. HHS HHS A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. COVID-19 is an emerging, rapidly evolving situation. Please enable it to take advantage of the complete set of features! The DCS plate is now inserted and seated with the impactor. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. Injury. Arch Orthop Trauma Surg. 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. dynamic condylar screw. Summary . 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. 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.  |  Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. The A.O dynamic condylar screw provide strong fixation in the cancellous bone of the neck and head with considerable rotational stability6. Various implants used to address these fractures are 95 degree blade plate, 95 degree dynamic condylar screw, reconstruction nails and proximal femoral locking plate. 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. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A.  |  Would you like email updates of new search results? 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