Cannulated Hip Screw

The Procedure

The procedure is done using a traction table. If you have scrubbed for a DHS before, then you will follow the same set up.

Trays and Softwares

Trays.

  • 6.5/7.3 Cannulated screw tray
  • Major Ortho tray
  • Stryker 6/7/8

Softwares.

  • 2.8 threaded guide pin x 3
  • Small ioban
  • DHS pack
  • 1 vicryl
  • 2 polysorb
  • 3 monocryl
  • Skin glue
  • 1L PNSS
  • Mepilex

Scrub Technique

  1. Closed reduction using 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.
  4. 1st guide pin. You will need you pin guide from the set.
  5. 2nd guide pin.
  6. 3rd guide pin. (Some surgeon’s may put the first cannulated screw first, so always ask for your surgeon’s preference.)
  7. Measure.
  8. Cannulate drill (found in the set)
  9. Cannulated screw insertion.
  10. Wash with PNSS.
  11. Final x-rays and skin closure.