Dynamic hip screw (DHS) for intertrochanteric fractures fixation performed using manual traction without needing a traction table. A technical note | ||||
| The Egyptian Orthopaedic Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 19 May 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/eoj.2025.382721.1041 | ||||
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| Authors | ||||
Omar Refai 1; Mohamed Eslam ELSHERIF 1; Ahmed A. Khalifa  2
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| 1Orthopaedic Department, Assiut University Hospital, Assiut, Egypt | ||||
| 2Kilo 6 Qena-Safaga highway | ||||
| Abstract | ||||
| Intertrochanteric fractures (ITFs) commonly occur in the elderly population with osteoporotic bone; however, they could happen in younger patients after significant trauma. Various fixation devices are available, including dynamic hip screws (DHS) and cephalomedullary nails (CMN), where most surgeons prefer operating on a traction table. We describe the technique of performing DHS for ITF fixation using manual traction on a usual radiolucent operative table. We followed the same surgical technique described for performing DHS surgery; however, an assistant held the lower limb with gentle traction, internal rotation, and slight hip abduction to obtain and maintain the fracture reduction. For obtaining a lateral view to confirm the guidewires and lag screw positions, the surgeon holds the lower limb in a frog leg-like position to obtain the hip lateral view without the need for rotation of the fluoroscopy machine C-arm. We believe the technique is easy to apply and beneficial for surgeons with no access to traction tables and in cases where there is a concomitant skeletal injury. | ||||
| Keywords | ||||
| Intertrochanteric fracture; manual traction; DHS; dynamic hip screw | ||||
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