Dynamic Hip Screw - DHS
Purpose[edit | edit source]
The Dynamic Hip Screw (DHS) or Sliding Hip Screw can be used as a fixation for neck of femur fractures. This would usually be considered for fractures that occur outside the hip capsule (extracapsular), often stable intertrochaneric fractures[1]. This is because there is a reduced chance of interrupting the blood supply to the head of the femur, and so it may be possible to preserve the joint. However, it may also be appropriate for younger patients with fractures within the hip capsule (intracapsular) if there is a good chance that the blood supply is preserved, reducing the risk of avasular necrosis.
As the patient starts to weight bear, the DHS allows compression of the fracture
Technique[edit | edit source]
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Evidence[edit | edit source]
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Resources[edit | edit source]
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References[edit | edit source]
- ↑ Dodds et al (2004) The Sliding Hip Screw Current Opinion in Orthopaedics Colume 15, Issue 1 pp12-17