Dynamic Hip Screw Treatment

Dynamic hip screw treatment is a kind of orthopaedic implant which stabilizes the femur proximal fracture that is near the hip joint. There are three main components of a dynamic hip screw which include a lag screw,  a side plate and several cortical screws. The purpose to design this device is to provide relief  to those patients who are suffering with hip fractures and can’t move. Hence, the dynamic hip screw implantation support in uplifting the well-being of the patients. 

DHS Components 

• Screw : The key component of the DHS is a large, threaded screw that is inserted inside the femoral head. The screw is intended to grasp the fracture bone fragments together. 
• Plate: The DHS also includes a long metal plate that is secure to the femur with screw. The plate helps to stabilize the bone and allows for the screw to move slightly, which aids the fracture to heal more naturally. 
• Sliding Mechanism: The screw is made up to slide within the plate, allowing for dynamic compression across the fracture site. This helps to maintain proper alignment of the fracture as the bone gets healed. 

Why DHS is Needed

Most hip fracture occurs due to fall. However, it mostly occurs in older adults or people who are suffering with conditions like osteoporosis which is responsible for weakening the bones. In some rare cases specific trauma can also lead to fracture in the hip. Therefore, the DHS treatment allows patients to recover sooner and help in regaining mobility, making it easier for patients to return to normal activities and improve their quality of life.   

DHS Indications 

• Interochanteric Fracture: This type of fracture which occurs in the above area of the femur specifically between the neck and the shaft of the femur, this indicates for DHS. 
• Femoral Neck Fracture: This fracture occurs due to the breaks in the femoral neck. This region links the head of the femur to the shaft. 

Dynamic Hip Screw Symptoms

Following are the primary symptoms of DHS 

• Extreme hip pain
• Unable to feel move 
• Inability to put or bear weight 
• Discomfort 
• Irritation 

DHS Treatment Procedure

Dynamic hip Screw treatment is done through following steps:

1. Preoperative Assessment 

Before surgical procedure, the patient needs to undergo an assessment to determine the type and extent of the hip fracture. This evaluation involves examining the patient’s medical history, pre-existing disease, conducting a physical examination and performing imaging tests such as CT scans and X rays. 

2. Anesthesia

According to the particular situation and the patient’s condition the individual receives either regional or general anesthesia. It is required to make sure the patient remains calm and relax during the procedure. 

3. Incision

To access the fracture bone the surgical incisions are made near the hip area by the orthopedic surgeon. However, these incisions depend on the type of fracture. 

4. Reduction 

To create the hip joint  to its natural shape the operating surgeon meticulously aligned the fracture fragments through using specialized tools and surgical methods to move the bone into the proper alignment. 

5. Fixation

Once the fracture has been positioned in its place, the femoral head is punctured and a dynamic hip screw is implanted through the screw hole. A plate that is fastened to the femur’s exterior is passed through the screw. 

6 Stability Evaluation

Once the implant is done the surgeon makes sure the fracture is correctly oriented and the implanted device is giving support in stability. Furthermore, fluoroscopy, X-ray may be performed to see the implanted device location and the alignment of the fracture.  

7. Closure and Recovery 

Lastly, the incisions are closed with staples or sutures, a sterile dressing is applied. The patient is then monitored in the recovery room until taking discharge. Physical therapy and other rehabilitation methods will be used to help restore the strength and mobility to the hip joint.