Three point contouring of 95 degree DCS plate & its advantages for fixation of sub trochanteric femur fracture

Author(s): RCS Khandelwal, Shubhanshu Bhaladhare, Umang Sanghvi, Spandan Koshire and Aditya K Agrawal

Abstract: Introduction: Subtrochateric region is an area of 5 cm below the lesser trochanter in femur. One of the methods for fixation of subtrochanteric femur fracture is by using 95 angled DCS (Dynamic Compression Screw) barrel plate. Though it’s not the best implant for subtrochanteric internal fixation, in our setting it is one of the good option. To overcome the limitations of 95° DCS we suggested three point contouring of 95° DCS which provides it an anatomical reduction and good results.
Material & Methods: Study includes 38 patients who are admitted in our hospital with subtrochanteric femur fracture out of which 29 were male and 9 were female. All the patients are treated with 95° DCS Barrel plate with three point contouring. Patients are then followed up in our Out Patient department.
Results: Out of 38 patients 37(96.4%) patient had a union without any complication while one patient had non-union which after bone grafting united.
Conclusion: 3 point contouring of 95 DCS gives good result compared to conventional 95 DCS barrel plate.

DOI: https://doi.org/10.22271/ortho.2018.v4.i2c.24