Dynamic Hip Screw (DHS)
A large lag screw within a sliding plate-and-barrel construct allows controlled compression at an intertrochanteric hip fracture as the patient stands — accelerating reliable bone healing.
What is Dynamic Hip Screw (DHS)?
The Dynamic Hip Screw (DHS) is a specialised orthopaedic implant designed for stabilising stable intertrochanteric hip fractures — among the most common fractures in elderly osteoporotic patients. The construct comprises a large lag screw inserted into the femoral head, sliding within a barrel attached to a side plate fixed to the femur with cortical screws. As the patient bears weight, controlled axial compression occurs at the fracture site, dynamically promoting bone healing. Dr. Hithesh performs DHS fixation in Hyderabad for stable intertrochanteric patterns, providing reliable stabilisation, very early mobilisation and excellent long-term function for elderly hip fracture patients.
How the Procedure Works
Anaesthesia & Positioning
Spinal or general anaesthesia is delivered; the patient is positioned on a fracture table allowing accurate fluoroscopic guidance throughout.
Fracture Reduction
The intertrochanteric fracture is reduced through traction, rotation and direct pressure under continuous fluoroscopic guidance, restoring proper anatomy.
Lag Screw Placement
The DHS lag screw is inserted into the femoral head along the optimal axis, maintaining ideal tip-apex distance for stability.
Side Plate Fixation
The side plate is positioned along the lateral femur and secured with cortical screws, completing the sliding compression construct effectively.
Closure & Mobilisation
Wound layers are closed; standing and walking with support begin within 24 hours, achieving rapid safe early mobilisation overall.
Outcomes
Who Needs This Treatment?
- →Reliable fixation for stable intertrochanteric hip fractures in elderly
- →Controlled compression at fracture site naturally accelerates biological healing
- →Allows protected weight-bearing and walking within 24 hours postoperatively
- →Prevents the cascade of complications associated with prolonged bedrest immobilisation
- →Time-tested implant design with decades of strong supporting clinical evidence
- →Cost-effective compared to alternative cephalomedullary nail systems generally
The DHS is one of orthopaedics' great workhorse implants. Its sliding compression principle harmonises with the body's biology — and gets elderly patients standing within a day, which is genuinely lifesaving in this group.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.