DCS Technique (continued)
SPECIAL TECHNIQUES
Using the DCS for Subtrochanteric Fractures
Indications
The DCS is indicated for the following fractures of the
proximal femur:
- Transverse subtrochanteric fractures *
- Short oblique subtrochanteric fractures *
- Long oblique subtrochanteric fractures *
* With the lesser trochanter avulsed or on the distal
fragment (femoral shaft) (2).
The design of the DCS Plate can enhance fixation of
selected, stable subtrochanteric fractures because it permits
stable fixation in the proximal fragment (3). The DCS Plate has
a 95° barrel angle, allowing it to enter the femur more prox-
imally than the DHS Plate and allowing insertion of two or
more screws into the calcar. Further, its two round proximal
plate holes permit insertion of 6.5 mm Cancellous Bone
Screws, for stable proximal fixation.
- Stable transverse and short oblique subtrochanteric fractures.
When using the DCS Plate for these fractures, the plate
can act as a tension band against normal medial com-
pressive forces (4).
- Long oblique subtrochanteric fractures.
When using the
135° DHS Plate to treat long oblique subtrochanteric frac-
tures, use of the proximal plate screws can prohibit com-
pression. With the 95° DCS Plate, however, stable fixation
can be achieved by lagging the fracture through the plate,
since controlled collapse is not anticipated.
Note: When used in the proximal femur, the DCS Plate can
only be used to treat stable fractures; i.e., fractures that can
be directly reduced and anatomically reassembled to allow
restoration of the bony medial buttress. Because the DCS
Plate has a 95° barrel angle, it does not allow for controlled
collapse and compression.
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DHS / DCS Index