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Hip fracture fixation (dynamic hip screw)
Why are we operating?
Fixation of an intertrochanteric hip fracture with a sliding screw-and-plate that lets the fracture compress as the patient walks on it, the fracture-clinic operation most on-call students will see first.
Indication: Stable intertrochanteric (extracapsular) fractures of the proximal femur; the femoral head keeps its blood supply, so it is fixed, not replaced.
The operation in 4 steps
01Reduction on the traction table
02Lateral approach
03Guidewire and lag screw
04Plate, compression and closure
Watch it done
Total hip replacement versus hemiarthroplasty in hip fractures
The registry's lecture on choosing the implant for a displaced intracapsular fracture.
Source: Australian and New Zealand Hip Fracture Registry · Watch on YouTube
Conceptual teaching for learners preparing to observe and assist under supervision, not operative instructions. Five minutes from now you should know why this operation exists, what its shape is, and which structures it is designed not to injure.