title: [The DHS (dynamic hip screw) buttress plate in the management of unstable proximal femoral fractures].
abstract: The DHS-implant system is a technically simple and widely used operative treatment modality for pertrochanteric fractures of the femur. In unstable 4-part fractures rotation of the head and neck fragment around the lag screw and significant impaction might lead to lateralisation of the greater trochanter and therefore to marked shortening. To prevent these effects we treated 17 patients with 4-part fractures with a prototype of a modular trochanteric DHS buttress plate. With this additional implant lateralisation of the greater trochanter could be prevented in all cases. This also leads to a limitation of telescoping, with less shortening even with immediate full weight bearing.
authors: Departement Chirurgie der Universität, Kantonsspital Basel.
authors: R
authors: R
authors: Babst
authors: O
authors: O
authors: Martinet
authors: N
authors: N
authors: Renner
authors: R
authors: R
authors: Rosso
authors: A
authors: A
authors: Bodoky
authors: M
authors: M
authors: Heberer
authors: P
authors: P
authors: Regazzoni
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography
vernacular_title: Die DHS-Abstützplatte für die Versorgung der instabilen proximalen Femurfrakturen.