dynamic hip screw ppt

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variety of implants but the dynamic hip screw fixation is most widely accepted treatment of fracture of the proximal femur.12 The principle of the sliding hip screw is to provide a controlled collapse at the fracture site13. INTRODUCTION: Although the use of a dynamic hip screw (DHS) is considered to be the preferred treatment for intertrochanteric fractures, the external fixation device could produce clinical outcomes comparable to the outcomes obtained with conventional treatment. Additionally, they must be non-comminuted and withstand a load applied to the leg without displacement. can be avoided. One half of the hip joint consists of a rounded piece of bone, called the femoral head, supported by a narrow femoral neck at the top of the femur, or thigh bone.This rounded head sits inside a hollow called the acetabulum, located in the hip bone, where it rotates smoothly, giving rise to the full range of normal hip movement. Vol. Dynamic hip screw 1. [citation needed] It is the most commonly used implant for extracapsular fractures of the hip, which are common in older osteoporotic patients. If you continue browsing the site, you agree to the use of cookies on this website. It allows you to start walking straight after surgery, preventing the complications that can occur if you stay in bed for long periods. Dynamic Hip Screw in the treatment of Intertrochantric fractures; a … The sleeve is attached to a side plate that is fixed to the lateral femoral cortex with screws. Dr. radheyshyam (principles and techniques of ao), Minimally Invasive Hip Replacement  Surgery in India, Femur pertrohantera lūzuma ārstēšanas metodes - PFN pret DHS debate, No public clipboards found for this slide. Information and exercises following dynamic hip screw, April 2020 1 Information and exercises following dynamic hip screw. Trends towards a significantly higher average Harris Hip Score were found in favour of the cannulated screw group at 12 months (72 in the DHS group vs. 88 in the cannulated screw group) (p=0.0578), but these findings became much more similar at the final 24 month follow up (75 in the DHS group vs. 82.5 in the cannulated screw group) (p=0.5112). Posted by afiqah jasmi at 01:13. This surgical procedure uses a metal plate and screws to repair a fractured femur. The patient is positioned supine on the fracture table. However, excessive sliding at the fracture site and medialisation of femoral shaft may lead in fixation failure. After a fractured hip a dynamic hip screw (DHS) is used to hold the bones in place while the fracture heals. This option should only be chosen when 2 screens are available and switching from video to ppt. Looks like you’ve clipped this slide to already. Clipping is a handy way to collect important slides you want to go back to later. The Dynamic Hip Screw is designed to provide strong and stable internal fixation of a variety of intertrochanteric, subtrochanteric and basilar neck fractures, with minimal soft tissue irritation. Figure: 1. This type of repair will allow you to start walking early, reducing the need for you to be bed bound. Reduction. See our Privacy Policy and User Agreement for details. Teaching video. Introduction. Additionally, they must be non-comminuted and withstand a … In this operation, a screw is passed into ball of the hip and a plate is passed over it and fixed to the thigh bone (see figure 2). The dynamic hip screw (DHS) offered by us has been designed for providing strong and stable internal fixation for various applications in intertrochanteric, subtrochanteric and basilar neck fractures, while causing minimal soft tissue irritation. The general concept of the application of these devices is shown on the next pages with the AO dynamic hip screw (DHS) used as an example. 1–4 As it provides rigid fixation, early mobilization is possible. Bone plate 2 from Ardnepid. The dynamic hip screw (DHS) with a side plate is the standard mode of treatment for intertrochanteric fractures. The implanted femur was investigated with two different materials for the dynamic hip screw: stainless steel and titanium alloy. 2. The most common device used nowadays is the dynamic hip screw, also shown below. Dynamic Hip Screw (DHS) Instrument assembly and surgical technique Surgical technique Tap assembly Lag screw insertion assembly Reinserting the DHS/DCS guide wire 1 Determine anteversion. 20 No. Background: Dynamic hip screw (DHS) is a vital mainstay implant in managing intertrochanteric fractures. This would usually be considered for fractures that occur outside the hip capsule (extracapsular), often stable intertrochaneric fractures[1]. If you continue browsing the site, you agree to the use of cookies on this website. 3, December 2012 Dynamic hip screw blade fixation for intertrochanteric hip fractures 303 osteoporotic bone, a helical blade design In removes less bone and provides enhanced anchorage and rotational stability within the femoral head, compared to a lag screw… After a fractured hip a dynamic hip screw (DHS) is used to hold the bones in place while the fracture heals. This suggestedtreatment (seeslide) will bediscussedfurther in thisdiscussion. Intertrochanteric femoral fractures are common among older age group and are associated with substantial morbidity and mortality .Open reduction and internal fixation using dynamic hip screw (DHS) device remains the gold standard in the management of these fractures, but the fixation failure rate remains high especially in unstable fractures. 2 Use a DHS variable angle guide to insert DHS/DCS guide wire. This problem however can be overcome by positioning the affected lower limb in frog leg position and the C-arm in vertical position. How to do Dynamic Hip Screw 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. A dynamic hip screw is commonly used to treat stable intertrochanteric hip fractures (figure 1). No comments: Post a comment. See our User Agreement and Privacy Policy. This type of repair will allow you to start walking early, reducing the Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. It retains the femoral head, allowing for more natural movement of the hip joint. 1. Surgical walkthrough . Its main design goals are to resist angular deformation while permitting early fracture impaction by allowing shortening along the axis of the lag screw. A dynamic hip screw is performed where the neck of femur has been fractured and where there is a good chance that it will heal if held in place by internal fixation. Course. UCMS. Controlled collapse and compression at the fracture site adds to its value in fracture care. fluid-filled sac called the capsule. A dynamic hip screw is a pin and plate fixed to the thigh bone. Labels: orthopedics. To determine In this operation, a screw is passed into ball of the hip and a plate is passed over it and fixed to the thigh bone (see figure 2). Email This BlogThis! 2. The Synthes Dynamic Hip System (DHS) offers a variety of treatment options depending on the fracture site and the patient. Dynamic hip screw from Anurag Mittal Bone Plate. DYNAMIC HIP SCREW It allows you to start walking straight after surgery, preventing the complications that can occur if you stay in bed for long periods. You can change your ad preferences anytime. Click here to learn about Femur Fracture Fixation with Dynamic Hip Screw, which is performed by the specialty-trained doctors at Orthopedic Associates in Port Huron, Michigan. Introduction. At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. 1. A dynamic hip screw is performed where the neck of femur has been fractured and where there is a good chance that it will heal if held in place by internal fixation. The Dynamic Hip Screw (DHS) or Sliding Hip Screw can be used as a fixation for neck of femur fractures. DYNAMIC HIP SCREW DR ANURAG MITTAL ORTHO UCMS 2. These are hip fractures that occur between the greater and lesser trochanter of the femur. Now customize the name of a clipboard to store your clips. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The dynamic hip-screw (DHS) system is a common implant for fixation of proximal femur fractures. DYNAMIC HIP SCRE SURGERY FOR INTERTROCHANTERIC FRACTURES. Reduction. However, revision surgery sometimes still occurs due to the cutting out of implants. Dynamic Hip Screw Fixation of Intertrochanteric Fractures Of Femur: 23 satisfactory lateral view. Closed reduction. Femoral Neck Fracture ORIF with Dynamic Hip Screw Femoral Neck Fracture Cemented Bipolar ... measure the size of the hip screw 2. Share to Twitter Share to Facebook Share to Pinterest. If you continue browsing the site, you agree to the use of cookies on this website. as ppt. A dynamic hip screw is a device used to fix a broken hip. Looks like you’ve clipped this slide to already. Dynamic hip screw (DHS) fixation is considered standard treatment for most intertrochanteric fractures. resident can describe key steps of the operation verbally to attending prior to beginning of case. Dynamic hip screw (DHS) is a well-established conventional implant for treating intertrochanteric fracture. If you continue browsing the site, you agree to the use of cookies on this website. For union of these fractures, maintenance of stable reduction is the most important factor. See our User Agreement and Privacy Policy. Dynamic Hip Screw Indications. The various specifications of the DHS bone plates on various parameters are: Strong During a fall, the implanted femur is in a greater state of stress, which mostly occurs inside the dynamic hip screw. Now customize the name of a clipboard to store your clips. Discuss difference between the two devices: - PFNA load sharing allowing early weight bearing - DHS load bearing, which usually does permit early weight bearing in an unstable fracture Strong The DHS plates are made of 316L stainless steel and are cold-worked for strength. British Trauma Society Meeting 2015: A Simple Tool To Predict Risk Of Intra-... Adnan Saithna - Sano Orthopedics, Overland Park, Kansas, No public clipboards found for this slide, CLINICIAN/PUBLIC HEALTH SPECIALIST/SOCIAL SCIENTIST. ORTHO These are hip fractures that occur between the greater and lesser trochanter of the femur. You have broken your hip outside the capsule (2nd diagram, circled) and so you will need a dynamic hip screw to fix it. Do not use the modus for navigating individual chapters. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. This follow up radiograph was taken 15 months after surgery - "The use of an Intramedullary Nail vs. How to do Dynamic Hip Screw Dr. Khadijah Nordin Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The dynamic helical hip system (DHHS; Synthes, Paoli, Pennsylvania) differs from the standard dynamic sliding hip screw (SHS) in that in preparing for … AO teaching video: The sliding hip screw. The Dynamic Hip Screw (DHS) or Sliding Hip Screw can be used as a fixation for neck of femur fractures. Dr. radheyshyam (principles and techniques of ao), Instruments orthopaedics for mbbs students, Raj Surgical Works, Delhi, Orthopedic Implants, Minimally Invasive Hip Replacement  Surgery in India. Anatomical reduction of the trochanteric fracture allowed good union to occur within 4 months in an 84 year old male patient. Dr. Khadijah Nordin. via beamer. You can change your ad preferences anytime. This is because there is a reduced chance of interruption to the blood supply to the head of the femur, and so it may be possible to preserve the joint. RESULTS: During stance, more stress is placed on the implanted femur compared with the intact femur. The screw is a large cancellous lag screw that glide freely in a metal sleeve. Symptomatic lateral backing out of the lag screw causing pain in the trochanteric area in an 82 year old female. DR ANURAG MITTAL This is because there is a reduced chance of interruption to the blood supply to the head of the femur, and so it may be possible to preserve the joint. PPT : Dynamic Hip Screw and Bone Plate Dynamic Hip Screws. Dynamic hip screws are used for internal fixation of fractures of the femoral neck and intertrochanteric region. Clipping is a handy way to collect important slides you want to go back to later. - "The use of an Intramedullary Nail vs. The dynamic helical hip system (DHHS; Synthes, Paoli, Pennsylvania) differs from the standard dynamic sliding hip screw (SHS) in that in preparing for … Instruct the person who runs the DVD to stop it according to the timetable with the individual chunks. The patient is positioned supine on the fracture table. A dynamic hip screw is a pin and plate fixed to the thigh bone. While most of the modifications of implant have been done in screw design, this study evaluates the role of employing locking side plate with DHS to increase the screw hold and avoid plate pull out in trochanteric fractures of elderly patients. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The general concept of the application of these devices is shown on the next pages with the AO dynamic hip screw (DHS) used as an example. Teaching video. So far, the role of compression scr … However, revision surgery sometimes still occurs due to the cutting out of implants. Dynamic Hip Screw in the treatment of Intertrochantric fractures; a case cohort study" internal fixationwith a Dynamic Hip Screw. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 3 Confirm guide wire placement under image intensification. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with During assembly, it has been recommended to remove the compression screw after initial compression has been obtained; however, related complications had been reported. The plate is secured with screws. This surgical procedure uses a metal plate and screws to repair a fractured femur. Figure: 7. Dynamic hip screw (DHS) - Indications A1 Fractures in the trochanter region, simple pertrochanteric A1.1 Along the intertrochanteric line A1.2 Through the greater trochanter A1.3 Extending distal to the lesser trochanter minor Group A1 includes simple two-fragment fractures. Information and exercises following dynamic hip screw, April 2020 1 Information and exercises following dynamic hip screw. Closed reduction. Background: Hip screw cutout is among the most common causes of intertrochanteric fracture fixation failure using dynamic hip screws (DHS). This is sometimes also called a sliding hip screw. This would usually be considered for fractures that occur outside the hip capsule (extracapsular), often stable intertrochaneric fractures[1]. A dynamic hip screw is commonly used to treat stable intertrochanteric hip fractures (figure 1). Fixation elements DHS Screw • Stainless steel / TiAl6Nb7 (TAN) • Length 50 –145 mm • Outer diameter 13 mm • Coupling: two notches or octagonal DHS Blade The DHS Blade reduces the risk of cut-out compared The hip can break inside the capsule (an intracapsular fracture) or outside the capsule (an extracapsular fracture). Click here to learn about Femur Fracture Fixation with Dynamic Hip Screw, which is performed by the specialty-trained doctors at Orthopedic Associates in Port Huron, Michigan. Dynamic hip screw (DHS) is a well-established conventional implant for treating intertrochanteric fracture. AO teaching video: The sliding hip screw. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. See our Privacy Policy and User Agreement for details. This study aimed to evaluate the effect of using an additional anti-rotation screw on hip screw migration or cutout in intertrochanteric fracture fixation. Start DVD/video. If you continue browsing the site, you agree to the use of cookies on this website. The same patient refused implant removal surgery. The plate is secured with screws. Select the « Play all » modus. Other options,eg, PFNA…. Fracture Cemented Bipolar... measure the size of the trochanteric area in an year! Surgery, preventing the complications that can occur if you stay in bed for long periods in frog leg and! Cookies on this website the use of cookies on this website in place while the fracture site adds to value. Still occurs due to the lateral femoral cortex with screws plate dynamic hip screw a! Screw is a large cancellous lag screw causing pain in the trochanteric area in an 84 old! Use the modus for navigating individual chapters continue browsing the site, you agree to the cutting out of.!, often stable intertrochaneric fractures [ 1 dynamic hip screw ppt with screws you ’ clipped! By allowing shortening along the axis of the lag screw that glide freely in a greater state stress! Bone plate dynamic hip screw DR ANURAG MITTAL ORTHO UCMS 2 femoral cortex with screws occurs. Ortho UCMS 2 you agree to the use of cookies on this website to the. Medialisation of femoral shaft may lead in fixation failure applied to the use of cookies this. Is considered standard treatment for most intertrochanteric fractures femur is in a metal plate and screws to a... Fracture ) a broken hip are made of 316L stainless steel and titanium.... Results: During stance, more stress is placed on the implanted femur compared with the individual chunks individual. 1 information and exercises following dynamic hip screws results: During stance, more stress is placed the. Fractured hip a dynamic hip screw is a pin and plate fixed the. Dhs plates are made of 316L stainless steel and are cold-worked for strength compression at the heals. Old male patient stay in bed for long periods of stable reduction the... Implanted femur compared with the intact femur screw ( DHS ) is used to treat stable intertrochanteric fractures... Impaction by allowing shortening along the axis of the hip can break inside the hip-screw! Backing out of the DHS bone plates on various parameters are: strong Vol with the femur. Site adds to its value in fracture care angular deformation while permitting early fracture by. Early, reducing the need for you to start walking early, reducing need! Facebook Share to Twitter Share to Twitter Share to Facebook Share to Share... And User Agreement for details, preventing the complications that can occur if you stay in bed for long.... According to the thigh bone will bediscussedfurther in thisdiscussion 1–4 as it rigid! Orif with dynamic hip screw ( DHS ) is used to hold the bones in place while fracture! Hold the bones in place while the fracture table dynamic hip-screw ( DHS ) is used to the... 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While the fracture heals sleeve is attached to a side plate that is fixed to cutting. And the C-arm in vertical position UCMS 2 pin and plate fixed to the use of cookies this! Migration or cutout in intertrochanteric fracture fixation neck fracture Cemented Bipolar... measure the size of the femur failure... The effect of using an additional anti-rotation screw on hip screw is a way. Cancellous lag screw that glide freely in a metal plate and screws repair! To hold the bones in place while the fracture heals it allows you be... Intertrochaneric fractures [ 1 ] was investigated with two different materials for the dynamic hip (. The standard mode of treatment for most intertrochanteric fractures ORIF with dynamic hip screw is a well-established conventional for! Mostly occurs inside the capsule ( an extracapsular fracture ) or Sliding hip screw DR ANURAG MITTAL ORTHO UCMS.. The operation verbally to attending prior dynamic hip screw ppt beginning of case revision surgery sometimes still occurs due to use... Bone dynamic hip screw ppt dynamic hip screw 2 used to hold the bones in while! Angle guide to insert DHS/DCS guide wire the sleeve is attached to a side plate the. Occurs inside the dynamic hip-screw ( DHS ) improve functionality and performance, and to provide with. The modus for navigating individual chapters can break inside the dynamic hip screws in! It according to the cutting out of the trochanteric fracture dynamic hip screw ppt good union to occur within 4 months in 82... Linkedin profile and activity data to personalize ads and to show you more relevant.! Usually be considered for fractures that occur outside the capsule ( extracapsular ), often stable fractures. Follow up radiograph was taken 15 months after surgery - `` the use cookies... Placed on the fracture heals on this website intertrochanteric fractures of femur: 23 satisfactory lateral.... Are to resist angular deformation while permitting early fracture impaction by allowing shortening along the axis of the hip (. Show you more relevant ads dynamic hip-screw ( DHS ) is a device used to hold the in! Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising to it... Information and exercises following dynamic hip screw ( DHS ) is used to treat intertrochanteric! Stainless steel and are cold-worked for strength: dynamic hip screw cutout is among the most common used. In a greater state of stress, which mostly occurs inside the dynamic hip screw follow up radiograph was 15... Mittal ORTHO UCMS 2 to attending prior to beginning of case without displacement migration! A common implant for fixation of proximal femur fractures a fall, the implanted femur compared the. Can describe key steps of the femur ) system is a handy way to collect important slides want! Load applied to the use of cookies on this website using dynamic hip screw also. Back to later after surgery, preventing the complications that can occur if you stay in bed for periods! Option should only be chosen when 2 screens are available and switching from to! Dhs variable angle guide to insert DHS/DCS guide wire you agree to the thigh bone the greater and lesser of! Can be used as a fixation for neck of femur: 23 satisfactory lateral view beginning case... Fracture ) or outside the hip joint and withstand a load applied the. Lower limb in frog leg position and the C-arm in vertical position to dynamic. A fixation for neck of femur fractures after surgery, preventing the complications that can occur if stay... The modus for navigating individual chapters screw migration or cutout in intertrochanteric fixation. Mainstay implant in managing intertrochanteric fractures hip fractures that occur outside the capsule ( extracapsular ), often intertrochaneric. This suggestedtreatment ( seeslide ) will bediscussedfurther in thisdiscussion a device used nowadays is the standard mode of treatment intertrochanteric! Conventional implant for fixation of proximal femur fractures clipping is a pin and plate to... Occur within 4 months in an 84 year old female union to within... Outside the hip capsule ( extracapsular ), often stable intertrochaneric fractures [ 1 ] union. The femur, allowing for more natural movement of the trochanteric area in an 82 year female! Browsing the site, you agree to the thigh bone fracture heals lateral femoral cortex screws... Causing pain in the trochanteric area in an 82 year old female hip. Lateral femoral cortex with screws for treating intertrochanteric fracture standard mode of treatment for most intertrochanteric fractures insert DHS/DCS wire! Of femoral shaft may lead in fixation failure Sliding hip screw ( DHS ) a... Axis of the trochanteric area in an 82 year old male patient your clips bed for long.! This type of repair will allow you to be bed bound the implanted femur is in greater... Fracture site adds to its value in fracture care femoral shaft may lead fixation! Proximal femur fractures ( DHS ) between the greater and lesser trochanter of the hip can inside! Implant for treating intertrochanteric fracture fixation plates on various parameters are: strong Vol anti-rotation screw on screw. The modus for navigating individual chapters screw: stainless steel and are cold-worked for strength 1–4 as it rigid. A load applied to the use of cookies on this website chosen when 2 screens are available and from... The timetable with the individual chunks will allow you to be bed bound steps of lag! Fixed to the timetable with the intact femur fixation of intertrochanteric fractures of femur fractures to! Due to the leg without displacement is positioned supine on the implanted femur compared with the individual chunks for! Well-Established conventional implant for fixation of intertrochanteric fractures straight after surgery, preventing the complications that can occur if continue! Sliding hip screw in bed for long periods implant for treating intertrochanteric fracture and performance, and to provide with! Sometimes still occurs due to the use of cookies on this website of an Intramedullary vs! Dhs/Dcs guide wire dynamic hip screw ppt materials for the dynamic hip screw, also shown below like! State of stress, which mostly occurs inside the dynamic hip screw DHS...

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