Table of Contents
ISRN Orthopedics
Volume 2013, Article ID 484289, 6 pages
Clinical Study

Comparison between Conventional and Minimally Invasive Dynamic Hip Screws for Fixation of Intertrochanteric Fractures of the Femur

1Department of Trauma and Orthopaedics, Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, Buckinghamshire, MK6 5LD, UK
2Department of Orthopaedics, Sohar Hospital, Sohar 321, Oman
3Department of Orthopaedics, Dr. RML Hospital and Lady Hardinge Medical College and Associated Hospitals, Delhi 110001, India
4Central Health Services, C1/160-161, Second Floor, Sector 16, Rohini, Delhi 110089, India

Received 29 May 2013; Accepted 25 July 2013

Academic Editors: G. Babis, P. Gerbino, and Z. Gugala

Copyright © 2013 A. Mahmood et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Intertrochanteric fractures of the proximal femur are one of the most common fractures encountered, and dynamic hip screw with a side plate is the standard treatment. We compared a minimally invasive surgical technique with the conventional surgical technique used in the fixation of intertrochanteric fractures with the dynamic hip screw (DHS) device. Methods. Thirty patients with such fractures were treated with the conventional open technique and 30 with a new minimally invasive technique. Patients in both groups were followed up for 1 year. Results. There was less blood loss, minimal soft tissue destruction, shorter hospital stay, and early mobilization with the minimally invasive technique. Conclusion. The present study finds minimally invasive technique superior to conventional (open) DHS.