Modified minimally invasive approach for dynamic hip screw fixation

Intertrochanteric fracture is a common injury of increasing geriatric population. Dynamic hip screw (DHS) is one of the commonly used implants used for the internal fixation of intertrochanteric fractures. Use of standard plate by a minimally invasive technique is both possible and advantageous to patient outcome in these fractures by allowing a smaller incision, a shorter surgical time, decreased operative blood loss and less postoperative pain. All these factors in turn will reduce the duration of hospital stay and improve the healing and rehabilitation potential of the elderly patients. In this article, we describe a modification of standard technique for DHS fixation with a clinical follow-up of 40 consecutive cases, all having satisfactory outcome.