Basic tips for Dynamic Hip Screw/Sliding Hip Screw/DHS/SHS fixation: Avoid intra-operative struggle

A dynamic hip screw (DHS) is a surgical implant used in orthopedic procedures to treat certain types of hip fractures, particularly those involving the proximal femur (the upper part of the thigh bone). The primary benefits of using a dynamic hip screw include:
Stability: The DHS provides stable fixation of the fractured bone fragments. It allows for compression of the fracture site, which promotes better bone healing. This stability helps to minimize pain, reduce the risk of complications, and enhance the chances of a successful recovery.
Load Sharing: The implant allows for load sharing between the implant and the bone. This means that the screw absorbs some of the forces acting on the hip joint, reducing the strain on the healing bone and allowing for early mobilization of the patient.
Early Mobilization: With stable fixation and load sharing, patients are often encouraged to begin weight-bearing and physical therapy sooner than with some other fixation methods. Early mobilization can lead to improved muscle strength, joint function, and overall recovery.
Minimized Discomfort: The compression mechanism in a DHS helps reduce the relative movement of the bone fragments, which can result in less pain and discomfort for the patient.
Reduced Complications: The design of the dynamic hip screw aims to reduce the risk of complications such as non-union (failure of the bone to heal), malunion (improper alignment of the bone), and avascular necrosis (death of bone tissue due to reduced blood supply). It's generally considered a reliable and effective method for treating hip fractures.
Surgical Technique: The DHS procedure is relatively straightforward and well-established, making it easier for orthopedic surgeons to perform. This can lead to shorter surgical times and lower rates of surgical complications.
It's important to note that while the dynamic hip screw offers several advantages, its suitability for a patient depends on various factors, including the type and location of the hip fracture, the patient's age, overall health, and surgeon's preference. The choice of surgical technique and implant will be determined on a case-by-case basis to ensure the best possible outcome for the patient.
The Current video provides some basic tips that help in getting through intraoperative struggle faced by the orthopedic residents.