[Dynamic condylar screw in reverse oblique trochanteric fractures]

The aim of the study was to evaluate the results of internal fixation with Dynamic Condylar Screw (DCS) in reverse oblique trochanteric fractures. In a two years period 238 patients with trochanteric fractures were treated in our department. In 31 cases (13%) the fracture has reverse obliquity (type II Evans). Internal fixation was performed with Ender nails (4 cases), AO condylar blade plate (11 cases), Dynamic Hip Screw (3 cases), Gamma nail (3 cases) and DCS (10 cases). Results 4 month after the surgery reveal that Gamma nail and DCS used in reverse oblique fractures were superior to other types of implants. Placement of DCS may be difficult in fractures with large displacement and technical solution in such fractures are presented. In conclusion we consider that, in type II Evans trochanteric fractures, internal fixation with DCS is a good option.