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Updated: Jun 22, 2026
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Fixation of basicervical and related fractures.
Elsayed Ibraheem Elsayed Massoud1
1Orthopaedic Department, Sohag Teaching Hospital, General Organization for Teaching Hospitals and Institutions, Tahta 15 St., Sohag, Egypt. Elsayedmassoud@Hotmail.com
International Orthopaedics
|May 29, 2009
Summary
Proximal femoral fractures with instability can be effectively treated with the dynamic hip screw (DHS) and derotation screw (DRS). This fixation method promotes fracture union and good functional outcomes in patients.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomechanical Engineering
Background:
- Proximal femoral fractures present challenges in achieving stable fixation, particularly those with axial and rotational instability.
- Identifying specific fracture patterns prone to instability is crucial for selecting appropriate surgical techniques.
Purpose of the Study:
- To identify proximal femoral fractures with a propensity for axial and rotational instability.
- To evaluate the efficacy of dynamic hip screw (DHS) with derotation screw (DRS) fixation for these fractures.
Main Methods:
- Prospective study of 42 patients with proximal femoral fractures.
- Surgical fixation using dynamic hip screw (DHS) with derotation screw (DRS).
- Functional and radiological evaluation at 12 months postoperatively.
Main Results:
- All fractures achieved union within an average of 11.5 weeks.
- Mean limb shortening was 2 mm, with a mean sliding distance of 5.5 mm.
- Excellent results were reported in 39 patients, with two good and one fair outcome.
Conclusions:
- AO types B2.1, A1.1, A2.1, A2.2, and A2.3 share a common instability, suggesting a unified treatment approach.
- DHS with DRS provides stable fixation in three planes, accommodating fragment movement and promoting healing.
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