Fractures of the distal femur: – Intercondylar fractures – Supracondylar fractures – Unicondylar fractures. Keywords Dynamic Condylar Screw Plate Dynamic & Round Hole offered offer strong as well as stable internal fixation of subtrochanteric and distal femoral fractures without causing any major tissue irritation. Lotzien S, Rausch V, Schildhauer TA, Gessmann J. BMC Musculoskelet Disord. 42 patients were available for a follow-up study, 12 subtrochanteric fractures (mean age 58.5 years) and 30 intertrochanteric fractures (mean age 73 years). www.ijsrp.org . Re-insertion of a new plate may not be secure because of bony defects in the distal fragment, created by the lag screw of the DCS. PDF | Between 1983 and 1989 66 consecutive fractures of the proximal femur were treated with a condylar screw DCS. The indications for the use of this device include transverse, short, and long oblique … The indications of a medial plate in addition to the lateral plate are medial supracondylar bone loss, low trans-condylar bicondylar fractures, medial Hoffa fracture, peri-prosthetic distal femur fractures, non-union after failed fixation with single lateral plate, poor bone quality and comminuted distal femur fractures (AO type C3). DCS Plate (Dynamic Condylar Screw Plate) Specification, Uses, Sizes and Surgical Techniques DCS Plate (Dynamic Condylar Screw Plate) is designed to provide strong and stable internal fixation of certain distal femoral and subtrochanteric fractures, with minimal soft tissue irritation. [Current status of therapy of subtrochanteric femoral fractures]. We conclude that whilst the DCS may replace the corresponding blade plates in the orthopaedic surgeon's armamentarium, it does not solve the problems of fixation of osteoporotic fractures. Epub 2007 Dec 1. [citation needed] It is the most commonly used implant for extracapsular fractures of the hip, which are common in older osteoporotic patients. ## Read The Dynamic Hip Screw Implant System ## Uploaded By J. R. R. Tolkien, the aojasif dynamic hip screw drs has been designed primarily to stabilize trochanteric fractures of the hip selected fractures of the femoral neck and some subtrochanteric fractures are further indications for the drs 40 46 the dynam ic condylar screw dcs has Blade plates provide excellent fixation and are considered to be the method presenting greatest resistance to angulation and torsion forces, despite the greater technical difficulty2, 3. Twenty-two patients were available for follow-up study, with an average time of 23.8 mo The dynam­ ic condylar screw (DCS) has been developed for fractures of the distal femur and is now being tested clinically. Fracture line extending to piriformis fossa precluding use of an intramedullary device. USA.gov. 2010 Feb;39(2):160-70. doi: 10.1007/s00132-009-1521-8. Courses and events. Sirbu P.D. Ehlinger M, Favreau H, Eichler D, Adam P, Bonnomet F. Orthop Traumatol Surg Res. Criteria for assessment of results Figure 2. To evaluate the success of dynamic condylar screw (DCS) fixation for comminuted proximal fractures of femur in adults. 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. In younger individuals, these fractures are less common and are usually the result of high-energy injuries. 2007 Dec;2(2-3):77-81. doi: 10.1007/s11751-007-0022-8. 2008 Jan 21;7:3. doi: 10.1186/1475-925X-7-3. Selected fractures of the femoral neck and some subtrochanteric fractures are further indications for the DHS [40, 46]. The dynamic condylar screw (DCS) is like the DHS in its design and concept. (range 12-16 weeks). whether there was bone or implant failure (p = 0.123 in the flexion test and p = 0.472 in the compression test). Skill level. Among 48 followed up cases, males were29(60.42%) and female 19(39.58%). An oblique osteotomy coursing proximal to distal, from the medial aspect to the lateral aspect of the radial cortex will be created within the distal … ~~ Free PDF The Dynamic Hip Screw Implant System ~~ Uploaded By Alexander Pushkin, the aojasif dynamic hip screw drs has been designed primarily to stabilize trochanteric fractures of the hip selected fractures of the femoral neck and some subtrochanteric fractures are further indications for the drs 40 46 the dynam ic condylar Main indications. Indications for Use ... TIBER™ DHS/DCS Dynamic Hip and Condylar Screw System REF DESCRIPTION UNITS 1MOI 3700004 DHS/DCS Impactor 9.0 mm 2 MOI 3700011 DHS/DCS Centering Sleeve, Long 1 3 MOI 3700003 Wrench for Removal of DHS/DCS Screws, SW7 1 4 MOI 3700005 DHS/DCS Impactor 20.0 mm 1 5 MOI 3700018 Hex Screw Driver SW3.5, with Holding Sleeve 1 6 MOI 3700009 … Six years a er the index operation the patient started with symptoms that were not able to respond to oral analgesics. Please enable it to take advantage of the complete set of features! 4 Synthes DHS/DCS Dynamic Hip and Condylar Screw System Technique Guide DHS The DHS is indicated for the following fractures of the proximal femur: – Intertrochanteric fractures – Subtrochanteric fractures* – Basilar neck fractures The DHS is indicated for stable fractures, and unstable fractures in which a stable medial buttress can be reconstructed. Equipment. 10.1055/b-0034-87632 Femur, proximal—introductionSuthorn Bavonratanavech Introduction Fractures of the proximal femur occur predominantly in the elderly population with osteoporosis. 2018 Dec 21;19(1):448. doi: 10.1186/s12891-018-2372-4. nailing with dynamic condylar screws is a reliable treatment option overall. Dynamic condylar screw: a new device. However, secondary revision surgery may be indicated before final healing of the nonunion. Pediatric distal femur module is now online. Free PDF The Dynamic Hip Screw Implant System Uploaded By Louis L Amour, the aojasif dynamic hip screw drs has been designed primarily to stabilize trochanteric fractures of the hip selected fractures of the femoral neck and some subtrochanteric fractures are further indications for the drs 40 46 the dynam ic condylar screw dcs has Dynamic hip screw (DHS) or Sliding Screw Fixation is a type of orthopaedic implant designed for fixation of certain types of hip fractures which allows controlled dynamic sliding of the femoral head component along the construct. Results of treatment were assessed by the Radford criteria. Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. All fractures were classified according to the radiographic criteria of Seinsheimer. Only stable proximal femoral fractures can be treated with the DCS (dynamic condylar screw) plate. The indication for the DCS is limited to proximal shaft fractures in younger patients capable of partial weight bearing. These screws may be fully threaded 2.7 or 3.5 mm lag screws (shown with gliding hole), 6.5mm partially threaded lag screws, or 4.0/4.5 mm cannulated, partially threaded lag screws. Choose treatment. PDF | 44 supra- and intercondylar fractures were treated with the "Dynamic Condylar Screw" (DCS). The dynamic condylar screw (DCS) is like the DHS in its design and concept. The me… The TIBER™Dynamic Condylar Screw is designed to provide strong and stable fixation ofa variety certain distal femoral subtrochanteric fractures,with minimal soft tissue . 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/. The dynamic condylar screw and plate, working as a tensile plate which allows the indirect reduction of the facture fragments with buttressing of the comminuted lateral cortex [2]. Halwai MA, Dhar SA, Wani MI, Butt MF, Mir BA, Ali MF, Dar IH. stable intertrochanteric fractures; outcomes ... (OBQ09.222) A patient with an intertrochanteric hip fracture undergoes reduction and dynamic hip screw application. Epub 2019 Oct 31. We report our initial experience in Nottingham of use of the AO Dynamic Condylar Screw (DCS) implant system for internal fixation of fractures of the proximal and distal femur. Comparative endurance testing of the Biomet Matthews Nail and the dynamic compression screw, in simulated condylar and supracondylar femoral fractures. sliding hip compression screw. The 95°dynamic condylar screw is a two-piece device with the same basic design as the 95°condylar blade plate but with the blade replaced by a large-diameter cannulated lag screw that is inserted over a guide pin after its channel is reamed and tapped. The dynamic condylar screw in the management of subtrochanteric fractures: does judicious use of biological fixation enhance overall results? COVID-19 is an emerging, rapidly evolving situation. et al. 104/14 | B-Block, Sant Nagar, Burari | Delhi-110084, INDIA, Orthopedic Surgical Instruments Set Catalog. ** Book The Dynamic Hip Screw Implant System ** Uploaded By Barbara Cartland, the aojasif dynamic hip screw drs has been designed primarily to stabilize trochanteric fractures of the hip selected fractures of the femoral neck and some subtrochanteric fractures are further indications for the drs 40 46 the dynam ic condylar NIH Nov 06, 2020 the dynamic hip screw implant system Posted By Jin YongMedia Publishing TEXT ID 036ff179 Online PDF Ebook Epub Library Dhs Dcs Implants Instruments Manufacturer Supplier for the fixation of trochanteric fractures the dynamic hip screw dhs implant system has been designed it can also be used for certain subtrochanteric fractures as well as for selected basi cervical femoral Main indications. 1989; 3(3):206-13 (ISSN: 0890-5339) Sanders R; Regazzoni P. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95 degree dynamic condylar screw between 1982 and 1985. A preliminary report. Distal femoral fractures are rare and usually complex. the dynamic hip screw implant system Oct 29, 2020 Posted By Wilbur Smith Media Publishing TEXT ID c36d28c9 Online PDF Ebook Epub Library fractures of the hip selected fractures of the femoral neck and some subtrochanteric fractures are further indications for the drs 40 46 the dynam ic condylar screw … The post-operative ... 95 degree dynamic condylar screw. The AO/ASIF dynamic condylar screw (DCS) was used for the operative treatment of 15 patients, nine women and six men, with subtrochanteric fractures of the femur. One of the disadvantages of using DCS is the loss of bone material while preparing the hole for the dynamic screw. It is the responsibility of the treating surgeon to determine the FDA status of the device to be used, and to use the product(s) with the appropriate patient consent and in compliance with applicable law. The dynamic condylar screw (DCS) is an impressive method of treatment of these fractures with various advantages of early active knee motion, full range of movement preserved, stable internal fixation and maintenance of joint congruity. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. The indications for and difficulties of such internal fixations are discussed.  |  Courses, webinars, and online events, in your region or worldwide. 2, August 2008 Mini-incision dynamic condylar screw fixation for comminuted subtrochanteric hip fractures 153 rates of 93.7 to 100%.7,8,16,21 This is because stripping of the soft tissues around the lateral cortex is minimal and the vitality of the medial fragment is not compromised further.7 Viable bones unite rapidly by callus formation.22 The lack of medial support 2. 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. There were no cases of screw penetration of the femoral head or neck. 1 Assistant Professor in Orthopedics and Spine Surgery, Orthopedic Spine Surgery Unit, Institute of Orthopedics and Traumatology, Madras Medical College, Chennai, India; 2 Department of Orthopedic Surgery, University of Michigan, 2912 Taubman Center, Ann Arbor, MI, USA; 3 Professor of … The device is technically easier to insert than the blade plate. indications . AO. 16 No. Selected fractures of the femoral neck and some subtrochanteric fractures are further indications for the DRS [40, 46]. Thirty-two consecutive subtrochanteric femur fractures were treated using the 95° dynamic condylar screw between 1982 and 1985. 2014 Apr;24(3):347-52. doi: 10.1007/s00590-013-1195-0. doi: 10.1016/j.otsr.2019.02.027. This device has been studied and compared with cannulated screws and fixation with DHS showing inconclusive results. Dual-plating of the distal femur is required in some cases to achieve stable fixation. Screw available holes: 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 105, 110, 115, 120, 125, 130, 135, 140 and 145. doi: 10.1016/s0020-1383(99)00124-2.  |  1999;30 Suppl 1:A31-9. Methods. Sahin EK, Imerci A, Kınık H, Karapınar L, Canbek U, Savran A. Eur J Orthop Surg Traumatol. Most commonly indicated angle is 135°. Jan 7, 2020 - Dynamic condylar screw is an implant assembly that consists of a lag screw, angled barrel plate fixed to the bone by 4.5 cortical screws. fractures with dynamic condylar screw patients were followed -up for 6-12 months, the mean follow up period was 8 months. We report our initial experience in Nottingham of use of the AO Dynamic Condylar Screw (DCS) implant system for internal fixation of fractures of the proximal and distal femur. Some medical devices demonstrated in the material have FDA clearance for specific indications; some are available only in restricted settings. [The use of blade plate and dynamic screw plate osteosynthesis]. 2020 Feb;106(1S):S79-S87. Would you like email updates of new search results? Indications Comminuted subtrochanteric fractures, especially types B and C of the AO classification. The average time to full weight bearing was 14 weeks. Clipboard, Search History, and several other advanced features are temporarily unavailable. Occipital condyle screws: indications and technique. Objective Treatment of closed comminuted subtrochanteric fractures using the dynamic condylar screw (DCS), with the goal of reducing operating time, blood loss, and incidence of delayed union. 23.3). The mean time to union was 16 (range, 13-22) weeks. Early mechanical complications following fixation of proximal femur fractures: From prevention to treatment. 2017 Nov 13;11:1277-1291. doi: 10.2174/1874325001711011277. eCollection 2017. IFMBE Proceedings, vol 26. Epub 2013 Feb 27. "Revision of subtrochanteric femoral nonunions after intramedullary nailing with dynamic condylar screw". Read more... AO Surgery Reference. Equipment. Choose treatment. Strategies Trauma Limb Reconstr. The indications for the use of this device include transverse, short, and long oblique subtrochanteric … Go to page. There are many debates as regarding using either extramedullary or intramedullary fixations for those complicated fractures. O'Connor-Read LM, Davidson JA, Davies BM, Matthews MG, Smirthwaite P. Biomed Eng Online. © Vast Ortho: Orthopedic Implants Manufacturers First Floor, Part of Khasra No. slot cut for the blade determines the alignment of the plate with the shaft, no further adjustment being possible. 1989;3(2):124-32. doi: 10.1097/00005131-198906000-00007. This site needs JavaScript to work properly. Twenty-two patients were available for follow-up study, with an average time of 23.8 months. NLM Varus/valgus malalignment of the guide pin is easily . We present a potential indication of a short-stemmed femoral component in a patient with multiple comorbidities presenting with hip posttraumatic osteoarthritis and a long dynamic condylar screw osteosynthesis plate. The DCS can be used in all situations where the 95 degrees blade plate has previously been used and technically it is easier to insert correctly. Comparison of proximal femoral nail antirotation (PFNA) with AO dynamic condylar screws (DCS) for the treatment for unstable peritrochanteric femoral fractures. Intramedullary fixation, plates with blades angled at 95° and dynamic hip screw application ; 39 ( 2 ) doi... F. Orthop Traumatol Surg Res by low-energy injuries region or worldwide lag screw is.! In younger individuals, these fractures are the main indications a coronal fracture, or intraarticular. For those complicated fractures the index operation the patient started with symptoms that were not able to respond oral. 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