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) is a new implant engineered by the AO/ASIF Group for use in management of proximal and distal femoral fractures.This device has some technical advantages over the AO condylar blade plate. 5 Align the handle with the femoral shaft before removing the wrench. Lag Screw Length: 70 mm* *65 mm (direct reading –15 mm) if compression screw will be used 4 Ream. The Dynamic Condylar Screw and plate are designed to provide strong and stable internal fixation of certain distal femoral and subtrochantericfractures, with minimal soft tissue irritation. Many devices are available including Dynamic Condylar Screw… It is technically easier to insert than the condylar blade plate (Video6.6.3-2), but the main drawbacks are the large bone defect caused by the large diameter of the condylar This device has been studied and compared with cannulated screws and fixation with DHS showing inconclusive results. Dynamic condylar screw (DCS): Introduced as an alternative to the CBP with a screw replacing the blade plate. Most common mode of injury was road traffic accidents in 32 patients The dynamic condylar screw (DCS) was originally designed for use in fractures of the distal femur and intercondylar fractures, but has found increasing application in proximal femoral fractures, particularly subtrochanteric ones. The dynamic condylar screw (DCS) is a new implant engineered by the AO/ASIF Group for use in management of proximal and distal femoral fractures. Among 48 followed up cases, males were29(60.42%) and female 19(39.58%). fractures with dynamic condylar screw patients were followed -up for 6-12 months, the mean follow up period was 8 months. In the 1970s the AO principles and the use of angled blade plate revolutionised the treatment of these injuries.11,12 It is now recognised by most orthopaedic surgeons that distal femur fractures are best treated by surgical fixation. Consider for complex proximal or distal femur fractures. Results of treatment were assessed by the Radford criteria. The implant is based on the sliding nail principle which allows impaction of the fracture. DYNAMIC HIP SCREW & DYNAMIC CONDYLAR SCREW • The dynamic hip screw (DHS) implant system has been designed primarily for the fixation of trochanteric fractures. 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. 9 If previously determined, insert the compression screw. It may also be used for certain subtrochanteric fractures as well as for selected basi- cervical femoral fractures. Dynamic Hip Screw and Dynamic Condylar Screw System : The dynamic hip screw (DHS) implant system has been designed primarily for the fixation of trochanteric fractures. 8 Place the DCS plate. 95-degree condylar blade plate (CBP): This option is technically challenging, making it a challenging option for simple femur fractures. Dynamic condylar screw The advantages of the dynamic condylar screw are its two components, which allow insertion with minimal exposure (Fig6.6.3-5). Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. 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