Steps to perform dynamic hip screw ( dhs)

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10 steps to perform DHS for trochanteric fractures. For educational purposes only.

$Steps to perform DYNAMIC HIP SCREW ( DHS) for peritrochanteric fractures DR. D. P. SWAMI MS ORTHOPAEDICS DPS (ONLY FOR EDUCATIONAL PURPOSES)$

$Step: 1 • X ray pelvis with b/l hip • Position: supine on fracture table DPS (ONLY FOR EDUCATIONAL PURPOSES)$

Step: 2 – Incision
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 3 ( use angle guide)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 4 ( insert guide wire)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 5 ( measure depth )
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 6 ( reaming with triple reamer)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 7 ( use tap for lag screw)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 8 ( insert dhs lag screw)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 9 ( insert dhs plate)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

Step: 10 (insert cortical screws)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

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Bone fractures are a very common orthopedic injury resulting from trauma and sudden loads or stresses applied to bones or a result from bones being weakened by certain diseases. More than 250,000 femur fracture patients are seen per year in the U.S. on average. Bone fractures are either a complete or partial break in a bone and in some cases a simple cast to immobilize the injury site is not enough to completely heal the fracture. Immobilization from casts may not be enough to completely heal the fracture if a malunion (when both ends of the fractured bone misalign) occurs and/or if a non-union (when the fracture gap is too large and the fractured ends cannot re-attach to one another) occurs. In the case of a malunion or non-union, a possible solution to the problem is by surgically inserting an intramedullary rod into the center canal (diaphysial) region of the injured bone and fixating it into place with screws.

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