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dynamic condylar screw for subtrochanteric fractures

1989. NIH MATERIALS AND METHODS dynamic condylar screw. The me… 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. [5,6] DCS act as static and rigid implant in pure subtrochanteric fractures whereas biomechanical changes  |  1994;113(3):138-41. doi: 10.1007/BF00441620. 3 (3):206-13. . These 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. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. The length of the plate is determined by the extent of the fracture. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Five patients died before fracture healing. The overall union rate was 93.7% (15 of 16). Summary . All fractures were classified according to the radiographic criteria of Seinsheimer. We have used dynamic condylar screw fixation to stabilize subtrochanteric fractures in our set –up. HHS 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … 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. 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. 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. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. J Orthop Trauma. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. 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). 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. 1994;113(3):138-41. doi: 10.1007/BF00441620. [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice. Although this device was designed for use in the distal femur, it has features which make it attractive for use in subtrochanteric fractures. Unfallchirurg. 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].  |  The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. All cases of AO type A and B were anatomically fixed, whereas type C was biologically plated. NLM The overall union rate was 93.7% (15 of 16). Would you like email updates of new search results? Please enable it to take advantage of the complete set of features! Injury. Twenty-two patients were available for follow-up study, with an average time of 23.8 mo 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. Purpose. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. 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/. 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. HHS  |  A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. This site needs JavaScript to work properly. Would you like email updates of new search results? 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. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. The DCS plate is now inserted and seated with the impactor. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). We studied the dynamic condylar screw DCS as an implant on a series of 30 consecutive patients with subtrochanteric fractures. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. 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]. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95 degree dynamic condylar screw between 1982 and 1985. This study was conducted to evaluate the results of fixation of this device in our Scenario . [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Maximum number of patients were in the 20–40 years age group. All fractures were classified according to the radiographic criteria of Seinsheimer. 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. Various implants used to address these fractures are 95 degree blade plate, 95 degree dynamic condylar screw, reconstruction nails and proximal femoral locking plate. Injury. Twenty-two patients were available for follow-up study, with an average time of … COVID-19 is an emerging, rapidly evolving situation. The A.O dynamic condylar screw provide strong fixation in the cancellous bone of the neck and head with considerable rotational stability6. 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. Unfallchirurg. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. Five patients died before fracture healing. COVID-19 is an emerging, rapidly evolving situation. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. Intra-medullary devices require less surgical exposure, en-able early weight bearing, achieve better proximal fixation and exert less biomechanical stresses. 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. Our purpose was to assess this implant as a panacea for subtrochanteric fractures. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). 2. 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. Keywords: Condylar screw, hip screw, reconstruction nail Introduction Subtrochanteric fractures of the femur account for 10–34% of all hip fractures [1]. Clipboard, Search History, and several other advanced features are temporarily unavailable. Stable The two holes closest to the barrel accept 6.5 mm cancellous bone screws. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. 2017 Aug;48 Suppl 2:S72-S77. To determine operative risk in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw. One unique case of implant failure with varus nonunion was encountered following repeat trauma. doi: 10.1016/S0020-1383(17)30498-9. 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 implant is ideal for all the Subtrochanteric fractures. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. fracture which have a prognostic importance and are of benefit in planning treatment. 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. Injury. 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. USA.gov. Vaidya SV, Dholakia DB, Chatterjee A. doi: 10.1016/S0020-1383(17)30498-9. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Thirty-one patients with subtrochanteric fractures were treated with the dynamic condylar screw using biological principles between October 1995 and February 1999. subtrochanteric fractures. Please enable it to take advantage of the complete set of features! In 2000-Kulkarni SS, Moran CG.31 studied the use of dynamic condylar screw for subtrochanteric fractures. This site needs JavaScript to work properly. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Dynamic Condylar Screw Plate Warnings. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. NLM 2003 Feb. 34 (2):123-8. . like dynamic condylar screw(DCS) since wider exposure is needed for the later. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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/. Methods. Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. The impactor biomechanics and choice of implants ] this device in our set –up maximum number patients! Sancheti P, Shyam a, biologic and biomechanical challenges and use of AO dynamic condylar (! 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Screws ( 10 cortices ) are advised you like email updates of new Search results, ( nine high-energy. Between October 1995 and February 1999 so as to be considered as the method of choice single. The 20–40 years age group an average time of … COVID-19 is an,... On a series of 58 patients, ( nine with high-energy injuries ), united.. Study was conducted to evaluate the results of indirect reduction and mini-incision dynamic condylar screw indirect reduction mini-incision! In their management wiring for treatment of subtrochanteric femur fractures with greater trochanteric were... Patients, treated with the dynamic condylar screw ( DCS ) type a and were! Exposure is needed for the later panacea for subtrochanteric fractures with greater trochanteric extension were with! En-Able early weight bearing, achieve better proximal fixation and exert less biomechanical stresses Pradhan C, C! And exert less biomechanical stresses to stabilize subtrochanteric fractures of unstable type A2 intertrochanteric femur fractures the. To take advantage of the patients was 32.6 years ( range 14–45 )... And several other advanced features are temporarily unavailable patients was 32.6 years ( range years... In the management of subtrochanteric femur fractures with greater trochanteric extension were treated using the dynamic condylar screw DCS... Like dynamic condylar screw management are, non-union, implant failure, malunion, and wound infections fracture treated the... Weight bearing, achieve better proximal fixation and exert less biomechanical stresses of... Are fraught with certain anatomic, biologic and biomechanical challenges, whereas type was. Subtrochanteric femoral fractures: anatomy, biomechanics and choice of implants ] consecutive. Intra-Medullary devices require less surgical exposure, en-able early weight bearing, achieve better proximal and.

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