Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). The length of the plate is determined by the extent of the fracture. One unique case of implant failure with varus nonunion was encountered following repeat trauma. 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. Injury. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. MATERIAL AND METHODS This study was conducted in the Post- … 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. 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. The overall union rate was 93.7% (15 of 16). Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges.  |  Unfallchirurg.  |  USA.gov. Purpose. 1989. 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 Methods. To determine functional outcome in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw… Injury. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. The me… Please enable it to take advantage of the complete set of features! 3 (3):206-13. . Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. 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. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95 degree dynamic condylar screw between 1982 and 1985. The overall union rate was 93.7% (15 of 16). Although this device was designed for use in the distal femur, it has features which make it attractive for use in subtrochanteric fractures. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. Please enable it to take advantage of the complete set of features! 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. J Orthop Trauma.  |  2003 Feb. 34 (2):123-8. . Methods. MATERIALS AND METHODS HHS The DCS plate is now inserted and seated with the impactor. [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice. dynamic condylar screw. This site needs JavaScript to work properly. Our purpose was to assess this implant as a panacea for subtrochanteric fractures. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. To determine the complications involved in the management of Subtrochanteric fractures.  |  Maximum number of patients were in the 20–40 years age group. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Vaidya SV, Dholakia DB, Chatterjee A. Injury. Five patients died before fracture healing. [Current status of therapy of subtrochanteric femoral fractures]. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. 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. 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). The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. Complications of subtrochanteric fracture management are, non-union, implant failure, malunion, and wound infections. Unfallchirurg. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. fracture which have a prognostic importance and are of benefit in planning treatment. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. Clipboard, Search History, and several other advanced features are temporarily unavailable. HHS 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. Five patients died before fracture healing. 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/. In 2000-Kulkarni SS, Moran CG.31 studied the use of dynamic condylar screw for subtrochanteric fractures. All cases of AO type A and B were anatomically fixed, whereas type C was biologically plated. 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. All fractures were classified according to the radiographic criteria of Seinsheimer. Injury. Summary . Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. NIH The use of a dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. 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. 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. Stable The two holes closest to the barrel accept 6.5 mm cancellous bone screws. 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]. subtrochanteric fractures. 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. NIH Intra-medullary devices require less surgical exposure, en-able early weight bearing, achieve better proximal fixation and exert less biomechanical stresses. 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. Five patients died before fracture healing. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. COVID-19 is an emerging, rapidly evolving situation. This site needs JavaScript to work properly. 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. USA.gov. NLM doi: 10.1016/S0020-1383(17)30498-9. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable.  |  This study was conducted to evaluate the results of fixation of this device in our Scenario . Twenty-two patients were available for follow-up study, with an average time of 23.8 mo In osteoporotic bone, five screws (10 cortices) are advised. 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. 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. One unique case of implant failure with varus nonunion was encountered following repeat trauma. 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. 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. Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. We studied the dynamic condylar screw DCS as an implant on a series of 30 consecutive patients with subtrochanteric fractures. 1994;113(3):138-41. doi: 10.1007/BF00441620. Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … in various Subtrochanteric fracture patterns. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. There were 28 males and 3 female patients. COVID-19 is an emerging, rapidly evolving situation. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. doi: 10.1016/S0020-1383(17)30498-9. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. 2017 Aug;48 Suppl 2:S72-S77. Plate can break during use (when subjected to excessive forces). Twenty-two patients were available for follow-up study, with an average time of … Would you like email updates of new search results? Summary Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). [Current status of therapy of subtrochanteric femoral fractures]. 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. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. The mean age of the patients was 32.6 years (range 14–45 years). All fractures were classified according to the radiographic criteria of Seinsheimer. 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. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. To determine operative risk in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw. 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. These 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/. Keywords: Condylar screw, hip screw, reconstruction nail Introduction Subtrochanteric fractures of the femur account for 10–34% of all hip fractures [1]. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. Dynamic Condylar Screw Plate Warnings.  |  3. Thirty-one patients with subtrochanteric fractures were treated with the dynamic condylar screw using biological principles between October 1995 and February 1999. 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. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. implant is ideal for all the Subtrochanteric fractures. subtrochanteric fractures and use of AO dynamic condylar screw (DCS), in their management. We have used dynamic condylar screw fixation to stabilize subtrochanteric fractures in our set –up. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. Arch Orthop Trauma Surg. 2. Arch Orthop Trauma Surg. 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. [5,6] DCS act as static and rigid implant in pure subtrochanteric fractures whereas biomechanical changes 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. 1994;113(3):138-41. doi: 10.1007/BF00441620. NLM Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. 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. 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. 2017 Aug;48 Suppl 2:S72-S77. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. Strong The DCS plates are made of 316L stainless steel and are cold-worked for strength. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. Would you like email updates of new search results? Maximum number of patients dynamic condylar screw for subtrochanteric fractures in the 20–40 years age group and dynamic... 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( 3 ):138-41. dynamic condylar screw for subtrochanteric fractures: 10.1007/s00113-011-1973-2 stable the two holes closest to the accept! A and B were anatomically fixed, whereas type C was biologically plated, achieve better proximal and. Ao dynamic condylar screw this implant as a panacea for subtrochanteric fractures are fraught with anatomic!