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Steps to perform DYNAMIC HIP
SCREW ( DHS) for peritrochanteric
fractures
DR. D. P. SWAMI
MS ORTHOPAEDICS
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 1
• X ray pelvis with b/l hip
• Position: supine on fracture table
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 2 – Incision
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 3 ( use angle guide)
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 4 ( insert guide wire)
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 5 ( measure depth )
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 6 ( reaming with triple reamer)
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 7 ( use tap for lag screw)
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 8 ( insert dhs lag screw)
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 9 ( insert dhs plate)
DPS (ONLY FOR EDUCATIONAL PURPOSES)
Step: 10 (insert cortical screws)
DPS (ONLY FOR EDUCATIONAL PURPOSES)
DPS (ONLY FOR EDUCATIONAL PURPOSES)

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Steps to perform dynamic hip screw ( dhs)

  • 1. Steps to perform DYNAMIC HIP SCREW ( DHS) for peritrochanteric fractures DR. D. P. SWAMI MS ORTHOPAEDICS DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 2. Step: 1 • X ray pelvis with b/l hip • Position: supine on fracture table DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 3. Step: 2 – Incision DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 4. Step: 3 ( use angle guide) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 5. Step: 4 ( insert guide wire) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 6. Step: 5 ( measure depth ) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 7. Step: 6 ( reaming with triple reamer) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 8. Step: 7 ( use tap for lag screw) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 9. Step: 8 ( insert dhs lag screw) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 10. Step: 9 ( insert dhs plate) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 11. Step: 10 (insert cortical screws) DPS (ONLY FOR EDUCATIONAL PURPOSES)
  • 12. DPS (ONLY FOR EDUCATIONAL PURPOSES)