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. HHS 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. COVID-19 is an emerging, rapidly evolving situation. 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. in various Subtrochanteric fracture patterns. J Orthop Trauma. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. This site needs JavaScript to work properly. HHS Injury.  |  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. Injury. Unfallchirurg. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. Dynamic Condylar Screw Plate Warnings. Five patients died before fracture healing. There were 28 males and 3 female patients. 2017 Aug;48 Suppl 2:S72-S77. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Twenty-two patients were available for follow-up study, with an average time of … Although this device was designed for use in the distal femur, it has features which make it attractive for use in subtrochanteric fractures. 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. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. 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 Unfallchirurg. The overall union rate was 93.7% (15 of 16). Injury. Keywords: Condylar screw, hip screw, reconstruction nail Introduction Subtrochanteric fractures of the femur account for 10–34% of all hip fractures [1]. 2. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Please enable it to take advantage of the complete set of features! 3. Would you like email updates of new search results? Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. Maximum number of patients were in the 20–40 years age group. Strong The DCS plates are made of 316L stainless steel and are cold-worked for strength. All fractures were classified according to the radiographic criteria of Seinsheimer. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. The overall union rate was 93.7% (15 of 16). Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). dynamic condylar screw. Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. Thirty-one patients with subtrochanteric fractures were treated with the dynamic condylar screw using biological principles between October 1995 and February 1999. subtrochanteric fractures and use of AO dynamic condylar screw (DCS), in their management. One unique case of implant failure with varus nonunion was encountered following repeat trauma. [Current status of therapy of subtrochanteric femoral fractures]. Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. In 2000-Kulkarni SS, Moran CG.31 studied the use of dynamic condylar screw for subtrochanteric fractures. 1994;113(3):138-41. doi: 10.1007/BF00441620. Summary . Twenty-two patients were available for follow-up study, with an average time of 23.8 mo The length of the plate is determined by the extent of the fracture. Summary Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). To determine operative risk in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw. 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. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed.  |  implant is ideal for all the Subtrochanteric fractures. doi: 10.1016/S0020-1383(17)30498-9. The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. 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 review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. These  |  One unique case of implant failure with varus nonunion was encountered following repeat trauma. USA.gov. Injury. doi: 10.1016/S0020-1383(17)30498-9. fracture which have a prognostic importance and are of benefit in planning treatment. Five patients died before fracture healing. COVID-19 is an emerging, rapidly evolving situation. We have used dynamic condylar screw fixation to stabilize subtrochanteric fractures in our set –up. 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 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. . Stable The two holes closest to the barrel accept 6.5 mm cancellous bone screws. In osteoporotic bone, five screws (10 cortices) are advised. 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). NIH 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. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Arch Orthop Trauma Surg. 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. [Current status of therapy of subtrochanteric femoral fractures]. 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]. 2017 Aug;48 Suppl 2:S72-S77. All cases of AO type A and B were anatomically fixed, whereas type C was biologically plated. 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. The me… 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. 1994;113(3):138-41. doi: 10.1007/BF00441620. Methods. Clipboard, Search History, and several other advanced features are temporarily unavailable. NLM Purpose. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. Would you like email updates of new search results? Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Our purpose was to assess this implant as a panacea for subtrochanteric fractures. The mean age of the patients was 32.6 years (range 14–45 years). Injury. Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. To determine the complications involved in the management of Subtrochanteric fractures. 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. 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. 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.  |  USA.gov. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Ten out of 11 young patients, (nine with high-energy injuries), united primarily. Methods. Please enable it to take advantage of the complete set of features! This site needs JavaScript to work properly. 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]. 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. 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. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Ten out of 11 young patients, (nine with high-energy injuries), united primarily. Five patients died before fracture healing. Plate can break during use (when subjected to excessive forces). Treatment of subtrochanteric fractures with the AO dynamic condylar screw. NIH A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. 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. Various implants used to address these fractures are 95 degree blade plate, 95 degree dynamic condylar screw, reconstruction nails and proximal femoral locking plate. like dynamic condylar screw(DCS) since wider exposure is needed for the later. MATERIAL AND METHODS This study was conducted in the Post- … 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. 1989. The DCS plate is now inserted and seated with the impactor. Intra-medullary devices require less surgical exposure, en-able early weight bearing, achieve better proximal fixation and exert less biomechanical stresses. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. NLM 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. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. 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. Vaidya SV, Dholakia DB, Chatterjee A. [5,6] DCS act as static and rigid implant in pure subtrochanteric fractures whereas biomechanical changes The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … subtrochanteric fractures. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95 degree dynamic condylar screw between 1982 and 1985. 3 (3):206-13. . Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice. To determine functional outcome in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw… Arch Orthop Trauma Surg. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. All fractures were classified according to the radiographic criteria of Seinsheimer. 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. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Complications of subtrochanteric fracture management are, non-union, implant failure, malunion, and wound infections. This study was conducted to evaluate the results of fixation of this device in our Scenario . 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