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 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. Vaidya SV, Dholakia DB, Chatterjee A. 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 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. In 2000-Kulkarni SS, Moran CG.31 studied the use of dynamic condylar screw for subtrochanteric fractures. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … 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. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. Twenty-two patients were available for follow-up study, with an average time of … Please enable it to take advantage of the complete set of features! 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. 3. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 1994;113(3):138-41. doi: 10.1007/BF00441620. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. 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]. The me… Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. The A.O dynamic condylar screw provide strong fixation in the cancellous bone of the neck and head with considerable rotational stability6. 2003 Feb. 34 (2):123-8. . 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. 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/. 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. 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. 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. NLM 2017 Aug;48 Suppl 2:S72-S77. Injury. 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. 1994;113(3):138-41. doi: 10.1007/BF00441620. Purpose. Unfallchirurg.  |  Injury. All cases of AO type A and B were anatomically fixed, whereas type C was biologically plated. Various implants used to address these fractures are 95 degree blade plate, 95 degree dynamic condylar screw, reconstruction nails and proximal femoral locking plate. One unique case of implant failure with varus nonunion was encountered following repeat trauma. Strong The DCS plates are made of 316L stainless steel and are cold-worked for strength. 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]. USA.gov. 2017 Aug;48 Suppl 2:S72-S77.  |  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. fracture which have a prognostic importance and are of benefit in planning treatment.  |  MATERIALS AND METHODS 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. [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice. All fractures were classified according to the radiographic criteria of Seinsheimer. Would you like email updates of new search results? COVID-19 is an emerging, rapidly evolving situation. like dynamic condylar screw(DCS) since wider exposure is needed for the later. 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. 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. 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/. NIH This site needs JavaScript to work properly. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. Injury. doi: 10.1016/S0020-1383(17)30498-9. Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. 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