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.
Indicated for stable intertrochanteric hip fractures in elderly patients confirmed on X-ray as appropriate fracture pattern — where dynamic compression accelerates healing and allows safe early weight-bearing.
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?
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Reliable fixation for stable intertrochanteric hip fractures in elderly
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Controlled compression at fracture site naturally accelerates biological healing
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Allows protected weight-bearing and walking within 24 hours postoperatively
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Prevents the cascade of complications associated with prolonged bedrest immobilisation
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Time-tested implant design with decades of strong supporting clinical evidence
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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
Dynamic Hip Screw (DHS) Cost in Hyderabad
The cost of Dynamic Hip Screw (DHS) fixation in Hyderabad depends on the type and severity of the hip fracture, fracture pattern, complexity of fixation, implant requirements, investigations required, and the care needed before and after surgery.
For patients with intertrochanteric hip fractures, the approximate cost of Dynamic Hip Screw (DHS) fixation ranges between ₹1,20,000 and ₹2,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Dynamic Hip Screw (DHS) | ₹1,20,000 – ₹2,20,000 |
The final cost may vary depending on your individual condition, fracture findings, type of implant used, fixation requirements, and whether any additional procedures are required.
Factors That Influence Dynamic Hip Screw (DHS) Cost
The overall cost may depend on:
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Type and complexity of hip fracture: The fracture pattern, degree of displacement, bone quality, and stability of the intertrochanteric fracture may influence treatment planning and fixation requirements.
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Pre-operative evaluation: Required X-rays, clinical examination, blood tests, and other medical assessments before surgery may affect the overall cost.
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Implant and fixation requirements: The type and size of the Dynamic Hip Screw, plate, screws, and other fixation components required may influence the cost.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, physiotherapy, rehabilitation, and follow-up requirements may influence the final estimate.
Is Dynamic Hip Screw (DHS) Covered by Insurance?
Dynamic Hip Screw fixation may be covered by health insurance when it is performed for a medically necessary fracture treatment. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Hitesh Bathini
Orthopaedic Surgeon
During consultation, Dr. Hitesh Bathini, Orthopaedic Surgeon in Hyderabad, will evaluate your injury, medical history, and investigation reports to determine whether Dynamic Hip Screw fixation is suitable for you. He will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual fracture and treatment requirements.
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.