Minimally Invasive Dynamic Hip Screw Fixation in Stable and Unstable Intertrochanteric Fractures

Introduction: In minimally invasive dynamic hip screw (DHS) fixation procedure, we have found a lesser amount of blood loss compared to the conventional DHS fixation. It is probably due to less soft tissue dissection and less exposure of the fracture fragments. Objectives: To evaluate peroperative blood loss, duration of operation, duration of hospital stay in patients with stable and unstable intertrochanteric fractures. Materials and Methods: Of 29 patients, 20 stable and nine unstable intertrochanteric fracture treated by minimally invasive DHS fixation. Peroperative average blood loss, post-operative hemoglobin (Hb) reductions, duration of surgery, and duration of hospital stay were studied. Results: Average blood loss was 64 ml and post-operative Hb reduction was 1.1 g. Average wound size 3.5 cm. A mean duration of surgery 52 min and average duration of post-operative hospital stay was 6 days. Conclusion: Minimally invasive DHS fixation is technically demanding with advantages of less blood loss, minimum soft tissue dissection, and shorter duration of hospital stay in stable and unstable intertrochanteric fractures.