Advertisement
Paper| Volume 26, ISSUE 4, P241-244, May 1995

The dynamic condylar screw in the management of subtrochanteric fractures of the femur

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      We reviewed 43 patients with subtrochanteric fractures treated with the AO dynamic condylar screw (DCS) to determine the medical and technical complication rate. Seven patients died before union and nine sustained major medical complications. Thirty fractures united without event. There were six technical failures, three related to failure of the medial buttress. The DCS can be used successfully in most subtrochanteric fractures, although there is a considerable complication rate, which reflects the general condition of the patient and the biomechanics of the proximal femur.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Zickel RR
        Fractures of the adult femur excluding the femoral head and neck.
        Clin Orthop. 1980; 147: 93
        • Fielding JW
        Subtrochanteric fractures.
        Clin Orthop. 1973; 92: 86
        • Waddell JP
        Subtrochanteric fractures of the femur; a review of 130 patients.
        J Trauma. 1979; 19: 582
        • Muller ME
        • Allgower M
        • Schneider R
        • Willenegger H
        3rd Ed. Manual of Internal Fixation. Springer Verlag, Berlin1990
        • Seinsheimer F
        Subtrochanteric fractures of the femur.
        J Bone Joint Surg. 1978; 60A: 300
        • Lee JC
        • Clanton TO
        • Rockwood CA
        Closed treatment of subtrochanteric fractures of the femur in a modified castbrace.
        J Bone Joint Surg [Am]. 1981; 63A: 773
        • Zickel RE
        An intramedullary fixation device for the proximal part of the femur.
        J Bone Joint Surg [Am]. 1976; 58A: 866
        • Curtis MJ
        • Jinnah RH
        • Wilson V
        • Cunningham BW
        Proximal femoral fractures: a biomechanical study to compare intramedullary and extramedullary fixation.
        Injury. 1994; 25: 99
        • Thomas WG
        • Villar RN
        Subtrochanteric fractures: Zickel nail or nail-plate.
        J Bone Joint Surg [Br]. 1986; 68B: 255
        • Schatzker J
        • Mahomed N
        • Schiffman K
        • Kellam J
        Dynamic condylar screw: a new device.
        J Orthop Trauma. 1989; 3: 124
        • Sanders R
        • Regazzoni P
        Treatment of subtrochanteric fractures using the dynamic condylar screw.
        J Orthop Trauma. 1989; 3: 206
        • Radford PR
        • Howell CJ
        The AO dynamic condylar screw for fractures of the femur.
        Injury. 1992; 23: 89
        • Nungu KS
        • Olerud C
        • Rehnberg L
        Treatment of subtrochanteric fractures with the AO dynamic condylar screw.
        Injury. 1993; 24: 90
        • Asher MA
        • Tippett JW
        • Rockwood CA
        • Zilber S
        Compression fixation of subtrochanteric fractures.
        Clin Orthop. 1976; 117: 202
        • Velasco RU
        • Comfort TH
        Analysis of treatment problems in subtrochanteric fractures of the femur.
        J Trauma. 1978; 18: 513
        • Wile PB
        • Panjabi MM
        • Southwick WO
        Treatment of subtrochanteric fractures with a high-angle compression screw.
        Clin Orthop. 1983; 175: 72
        • Ruff ME
        • Lubbers LM
        Treatment of subtrochanteric fractures with a sliding screw-plate device.
        J Trauma. 1986; 26: 75