Abstract
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.
Keywords
femoral fractures - hip fractures - minimally invasive surgical procedures
