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Dynamic hip screw



Dynamic hip screw (DHS) or Intramedullary Hip Screw is a type of intramedullary device (designed for intertrochanteric and subtrochanteric fractures) which allows controlled sliding of the femoral head screw within the IM nail gliding hole.

Subcapital fracture; Garden's classification

  • Type I fractures have the best outcome. The bone ends are impacted into one another, which facilitates vascular re-growth.
  • Type II fractures are not impacted and are thus less stable. However there is minimal displacement of the bones from the anatomically normal position, and this is beneficial.
  • Type III fractures are complete but there is only partial displacement.
  • Type IV fractures are complete with total displacement. The two ends of bone are completely separated.

Fractures of type I & II are usually treated by internal fixation using a Dynamic hip screw.


References

  • http://www.gla.ac.uk/ibls/fab/tutorial/clinical/orhip.html
  • http://www.wheelessonline.com/ortho/intramedullary_hip_screw
 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Dynamic_hip_screw". A list of authors is available in Wikipedia.
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