Minimally Invasive Osteosynthesis of Transtrochanteric Fractures with Dynamic Hip Screw (DHS).

Autor:	Guimarães JAMB; Hospital São Vicente, Serra Talhada, PE, Brasil., Machado MCFP; Faculdade de Medicina (Campus Serra Talhada), Universidade de Pernambuco, Serra Talhada, PE, Brasil., Galvão PVM; Faculdade de Medicina (Campus Serra Talhada), Universidade de Pernambuco, Serra Talhada, PE, Brasil., de Lima JC; Faculdade de Medicina (Campus Serra Talhada), Universidade de Pernambuco, Serra Talhada, PE, Brasil., Gomes LDS; Faculdade de Medicina (Campus Serra Talhada), Universidade de Pernambuco, Serra Talhada, PE, Brasil., Guimarães PFB; Faculdade de Medicina de Olinda (FMO), Olinda, PE, Brasil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2021 Feb; Vol. 56 (1), pp. 109-113. Date of Electronic Publication: 2020 Sep 25.
DOI:	10.1055/s-0040-1716758
Abstrakt:	The method presented here consists of a minimally invasive surgical technique for osteosynthesis of transtrochanteric fractures with Dynamic Hip Screw (DHS) 135°. It is indicated in the treatment of 31-A1 and 31-A2 fractures (Arbeitsgemeinschaft für Osteosynthesefragen Classification - AO) that meet the prerequisites required for using DHS. The surgery is performed, preferably, before 48 hours after the fracture. With the use of the same instruments as the traditional surgical technique and the aid of the C-arm, a closed reduction of the fracture and implantation of the DHS is performed by a 2-cm surgical incision, through dissection of the underlying tissues, with minimal bleeding and damage to the soft parts. In the immediate postoperative period, the patient is encouraged to orthostatism and walk with full load, which anticipates hospital discharge and favors early functional rehabilitation. Outpatient return is scheduled at 2, 6, 12 and 24 weeks postoperatively, with radiographic evaluation to assess fracture healing. Competing Interests: Conflito de Interesses Os autores não têm conflito de interesses a declarar. (Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze:	MEDLINE
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