title: Operative management of a subtrochanteric fracture in severe osteoporosis. a case report.
abstract: BACKGROUND
  Fractures of the subtrochanteric region of the femur provide several challenges to the operating surgeon due to anatomic and biomechanical peculiarities inherent to this region. These challenges are compounded several times in a severely porotic bone.
  
  
  METHODS
  We report a case with severe osteoporosis who sustained a subtrochanteric fracture and was managed with a Dynamic condylar screw DCS. Three years after the surgery the patient is pain free and has a full range of motion.
  
  
  CONCLUSIONS
  This highlights the fact that the DCS provides a viable alternative in the management of fractures of the subtrochanteric region in severe osteoporosis. This advantage is particularly manifest in settings where the image intensifier is not easily available.
authors.affiliation: Department of Orthopaedics, Government Medical College, Srinagar, Jammu and Kashmir, India. shabirdhar@yahoo.co.in.
authors.forename: Shabir Ahmed
authors.initials: SA
authors.lastname: Dhar
authors.forename: Manzoor Ahmed
authors.initials: MA
authors.lastname: Halwai
authors.forename: Mohammed Iqbal
authors.initials: MI
authors.lastname: Wani
authors.forename: Mohammed Farooq
authors.initials: MF
authors.lastname: Butt