A new technique for insertion of barrel plate over dynamic hip/compression lag screw: a case report

• Published in: Chinese journal of traumatology Vol. 15; no. 4; pp. 231 - 233
• Main Authors: Naranje, Sameer, Trikha, Vivek, Min, Dong, Shuang-ming, Song
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.08.2012; Department of Orthopaedics,All India Institute of Medical Sciences,Ansari Nagar,New Delhi 110029,India
• Subjects: Bone; Bone Plates; Bone Screws; emoralfracture; fracture; Fracture Fixation, Internal; Hip Fractures - surgery; Humans; Intertrochanteric; Prospective Studies; screws; emoralfracture; Intertrochanteric; screws; Bone; fracture; Intertrochanteric fracture; Bone screws; Femoral fracture
• ISSN: 1008-1275
• DOI: 10.3760/cma.j.issn.1008-1275.2012.04.007

Dynamic hip/compression screw (DHS/ DCS) is one of the most commonly performed surgeries in orthopaedic practice. Sliding barrel plate over the DHS/DCS lag screw is one of the very crucial and at times uncomfortable and time consuming steps of DHS/DCS surgery especially when it comes to inexperienced surgeons and residents. Also in developing countries where not all standard instrumentation is always available, this crucial step becomes more time consuming. Here we present a case report of 58-year-old male patient with intertrochanteric fracture, in which we used a new device for insertion of barrel plate over DHS/DCS lag screw and found that a small DHS/DCS lag screw extension (sliding jig of barrel plate) can be very helpful to slide barrel plate over the DHS/DCS lag screw.