Treatment of subtrochanteric fractures with the AO dynamic condylar screw. Injury. USA.gov. NIH Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. Purpose.  |  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. 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. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. Summary Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). 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 operative risk in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw. Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. In osteoporotic bone, five screws (10 cortices) are advised. This site needs JavaScript to work properly. subtrochanteric fractures and use of AO dynamic condylar screw (DCS), in their management.  |  NIH 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. Strong The DCS plates are made of 316L stainless steel and are cold-worked for strength. Twenty-two patients were available for follow-up study, with an average time of … 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. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. Although this device was designed for use in the distal femur, it has features which make it attractive for use in subtrochanteric fractures. The overall union rate was 93.7% (15 of 16). 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]. 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. All fractures were classified according to the radiographic criteria of Seinsheimer. 1989. doi: 10.1016/S0020-1383(17)30498-9. All fractures were classified according to the radiographic criteria of Seinsheimer. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. 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. [Current status of therapy of subtrochanteric femoral fractures]. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. We studied the dynamic condylar screw DCS as an implant on a series of 30 consecutive patients with subtrochanteric fractures. 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. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. 2017 Aug;48 Suppl 2:S72-S77. 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. Five patients died before fracture healing.  |  There were 28 males and 3 female patients. HHS This site needs JavaScript to work properly. Injury. Complications of subtrochanteric fracture management are, non-union, implant failure, malunion, and wound infections. 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. In 2000-Kulkarni SS, Moran CG.31 studied the use of dynamic condylar screw for subtrochanteric fractures. [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice.  |  Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … 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/. Five patients died before fracture healing. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. Injury. Unfallchirurg.  |  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]. 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 Various implants used to address these fractures are 95 degree blade plate, 95 degree dynamic condylar screw, reconstruction nails and proximal femoral locking plate. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Clipboard, Search History, and several other advanced features are temporarily unavailable. Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. 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.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. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. 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. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). NLM Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. Please enable it to take advantage of the complete set of features! Arch Orthop Trauma Surg. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). The overall union rate was 93.7% (15 of 16). fracture which have a prognostic importance and are of benefit in planning treatment. subtrochanteric fractures. The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. Intra-medullary devices require less surgical exposure, en-able early weight bearing, achieve better proximal fixation and exert less biomechanical stresses. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. Methods. The me… Clipboard, Search History, and several other advanced features are temporarily unavailable. Thirty-one patients with subtrochanteric fractures were treated with the dynamic condylar screw using biological principles between October 1995 and February 1999. 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. 3 (3):206-13. . MATERIALS AND METHODS 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. One unique case of implant failure with varus nonunion was encountered following repeat trauma. Stable The two holes closest to the barrel accept 6.5 mm cancellous bone screws. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. We have used dynamic condylar screw fixation to stabilize subtrochanteric fractures in our set –up. The DCS plate is now inserted and seated with the impactor. 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/. 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 are fraught with certain anatomic, biologic and biomechanical challenges. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. Maximum number of patients were in the 20–40 years age group. To determine functional outcome in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw… Five patients died before fracture healing. HHS 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. 3. NLM Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Vaidya SV, Dholakia DB, Chatterjee A. 2003 Feb. 34 (2):123-8. . The A.O dynamic condylar screw provide strong fixation in the cancellous bone of the neck and head with considerable rotational stability6. COVID-19 is an emerging, rapidly evolving situation. Arch Orthop Trauma Surg. 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. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. Would you like email updates of new search results? MATERIAL AND METHODS This study was conducted in the Post- … One unique case of implant failure with varus nonunion was encountered following repeat trauma. 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. 1994;113(3):138-41. doi: 10.1007/BF00441620. dynamic condylar screw. in various Subtrochanteric fracture patterns. Would you like email updates of new search results? 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. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). USA.gov. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). 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. J Orthop Trauma. 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. This study was conducted to evaluate the results of fixation of this device in our Scenario . Dynamic Condylar Screw Plate Warnings. implant is ideal for all the Subtrochanteric fractures. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Methods. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. Unfallchirurg. 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. Plate can break during use (when subjected to excessive forces). 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