A new technique for lag screw placement in the dynamic hip screw fixation of intertrochanteric fractures: decreasing...

The goal of this study was to confirm the decrease in radiation time required for a new technique to place dynamic hip screws (DHS) in intertrochanteric fractures. Seventy-six patients were treated with DHS by either the new technique (NT) or the conventional technique (CT). The width of femoral shaft, the length of the hip screw to be implanted into the injured side, and the distance between the tip of the greater trochanter and the entry point of the guide wire were measured at the uninjured side on the anteroposterior pelvic radiograph preoperatively, and the actual width of the injured femoral shaft was measured intra-operatively. Finally, the entry point and the length of hip screw were obtained through an equation. Mean radiation time of the NT patients (24.57 +/- 7.80 s) was significantly shorter than the CT patients (54.2 +/- 18.26 s) (P < 0.001). The new technique decreased radiation time dramatically in DHS fixation.