Dynamic Hip Screw

The procedure.

The Dynamic Hip Screw is a surgical hip fixation procedure using a lag screw, a plate, and screws (4.5 cortex screws).

Trays and softwares.

Trays.

  • DHS instruments tray
  • Major orthopaedic tray
  • Stryker 6/7/8

Softwares.

  • DHS pack
  • Small ioban
  • 3.2 x 145 drill
  • 2.5 guide pin (another 1 on standby)
  • 1 Vicryl 9465
  • 2 Vicryl
  • 3 Monocryl
  • 1L PNSS
  • Skin glue
  • 15 or 20 Mepilex
  • Optional:
    • Extra norfolk and norwich

Scrub technique.

  1. Closed reduction using a traction table.
  2. Skin preparation and draping.
    • Small ioban.
    • Vertical drape.
  3. Skin incision and fracture site preparation. You will need your retractors and maybe bone elevators. Also, they may do open reduction.
  4. Entry guide pin. You will need your wire driver and pin guide.
    • They may also need an extra guide pin to make the fracture site more stable.
  5. Measure.
  6. Entry reamer.
  7. Lag screw insertion.
    • Some surgeons may opt to use a tap screw first before inserting the lag screw.
  8. Plate application.
  9. Screw fixation.
  10. Wash with saline.
  11. Final x-rays and skin closure.