title: [The dynamic hip screw support plate for 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 a significant impaction might lead to a lateralisation of the greater trochanter and therefore to an important 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 the lateralisation of the greater trochanter could be prevented in all cases. This also leads to a limitation of the 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; D004867:Equipment Design; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D017102:Fracture Healing / Q000502:physiology; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography
vernacular_title: Die DHS-Abstützplatte für die Versorgung der instabilen proximalen Femurfrakturen.