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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. Various implants used to address these fractures are 95 degree blade plate, 95 degree dynamic condylar screw, reconstruction nails and proximal femoral locking plate. NIH [15] No single implant fits all the variations of subtrochanteric fractures so as to be considered as the method of choice. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. In osteoporotic bone, five screws (10 cortices) are advised. The DCS plate is now inserted and seated with the impactor. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. 1993 Feb;24(2):90-2. doi: 10.1016/0020-1383(93)90195-c. Hoffmann R, Südkamp NP, Schütz M, Raschke M, Haas NP. Arch Orthop Trauma Surg. To determine operative risk in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw. 1989. One unique case of implant failure with varus nonunion was encountered following repeat trauma. 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. The me… Arch Orthop Trauma Surg. MATERIALS AND METHODS NIH To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. J Orthop 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. Unfallchirurg. The overall union rate was 93.7% (15 of 16). 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 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]. Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. NLM The overall union rate was 93.7% (15 of 16). 2017 Aug;48 Suppl 2:S72-S77. COVID-19 is an emerging, rapidly evolving situation. [Trochanteric femoral fractures: anatomy, biomechanics and choice of implants]. A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. 3. 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 fractures were classified according to the radiographic criteria of Seinsheimer. Summary . 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. To determine the complications involved in the management of Subtrochanteric fractures. COVID-19 is an emerging, rapidly evolving situation. Plate can break during use (when subjected to excessive forces). Dynamic Condylar Screw Plate Warnings.  |  3 (3):206-13. . 2011 Jun;114(6):491-500. doi: 10.1007/s00113-011-1973-2. Summary Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Injury. Twenty-two patients were available for follow-up study, with an average time of 23.8 mo 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. HHS Thirty-two consecutive subtrochanteric femur fractures were treated using the 95 degree dynamic condylar screw between 1982 and 1985. We studied the dynamic condylar screw DCS as an implant on a series of 30 consecutive patients with subtrochanteric fractures. Five patients died before fracture healing. 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 Dynamic Condylar Screw is designed to provide strong and stable internal fixation of certain distal femoral and subtrochanteric fractures, with minimal soft tissue irritation. 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. Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. [Current status of therapy of subtrochanteric femoral fractures].  |  To determine functional outcome in subtrochanteric fracture treated with proximal femoral nail, dynamic hip screw and dynamic condylar screw… A consecutive series of 58 patients, treated with the dynamic condylar screw (DCS) for subtrochanteric fractures were retrospectively reviewed. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with 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. 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. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). Strong The DCS plates are made of 316L stainless steel and are cold-worked for strength. USA.gov. In 2000-Kulkarni SS, Moran CG.31 studied the use of dynamic condylar screw for subtrochanteric fractures. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. Injury. Stable The two holes closest to the barrel accept 6.5 mm cancellous bone screws. dynamic condylar screw. implant is ideal for all the Subtrochanteric fractures. 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. Five patients died before fracture healing. USA.gov. 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.  |  doi: 10.1016/S0020-1383(17)30498-9. This site needs JavaScript to work properly. 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. All cases of AO type A and B were anatomically fixed, whereas type C was biologically plated. Clipboard, Search History, and several other advanced features are temporarily unavailable. The A.O dynamic condylar screw provide strong fixation in the cancellous bone of the neck and head with considerable rotational stability6. 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). This site needs JavaScript to work properly. doi: 10.1016/S0020-1383(17)30498-9. Although this device was designed for use in the distal femur, it has features which make it attractive for use in subtrochanteric fractures. 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. Purpose. We have used dynamic condylar screw fixation to stabilize subtrochanteric fractures in our set –up. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. Please enable it to take advantage of the complete set of features! This study was conducted to evaluate the results of fixation of this device in our Scenario . There were 28 males and 3 female patients. Outcomes of dynamic hip screw augmented with trochanteric wiring for treatment of unstable type A2 intertrochanteric femur fractures. 1994;113(3):138-41. doi: 10.1007/BF00441620. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization … Thirty-one patients with subtrochanteric fractures were treated with the dynamic condylar screw using biological principles between October 1995 and February 1999. The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. 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. One unique case of implant failure with varus nonunion was encountered following repeat trauma. 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 length of the plate is determined by the extent of the fracture. Our purpose was to assess this implant as a panacea for subtrochanteric fractures. Maximum number of patients were in the 20–40 years age group. 2017 Aug;48 Suppl 2:S72-S77. Please enable it to take advantage of the complete set of features! Injury. Sixteen cases of subtrochanteric femur fractures with greater trochanteric extension were treated using the AO dynamic condylar screw (DCS). 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 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. [5,6] DCS act as static and rigid implant in pure subtrochanteric fractures whereas biomechanical changes Puram C, Pradhan C, Patil A, Sodhai V, Sancheti P, Shyam A. 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. Unfallchirurg. Ten out of 11 young patients, (nine with high-energy injuries), united primarily. Methods. 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? 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. Keywords: Condylar screw, hip screw, reconstruction nail Introduction Subtrochanteric fractures of the femur account for 10–34% of all hip fractures [1]. like dynamic condylar screw(DCS) since wider exposure is needed for the later. The advantages of the implant and technique are a simplified procedure, shorter operative time, and rapid union. fracture which have a prognostic importance and are of benefit in planning treatment. 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. 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/.  |  Injury. NLM The mechanism of injury was low-energy in 47 cases and high-energy in 11 cases. 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/. 2. 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 mean age of the patients was 32.6 years (range 14–45 years). These [Current status of therapy of subtrochanteric femoral fractures]. Mechanism of injury was low-energy in 47 cases and high-energy in 11.. Criteria of Seinsheimer 95° dynamic condylar screw we studied the use of a dynamic condylar screw ( DCS.! 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