Abstract
The aim of the study was to examine the clinical outcome of fixing unstable intertrochanteric fractures using a newly designed 102° dynamic condylar screw (DCS). Twelve unstable low-energy intertrochanteric fractures were fixed using 102° DCS. Patient ages ranged from 79 to 92 years. The follow-up period was from 6 to 15 months. Patients were assessed clinically and radiographically. Fracture healing was achieved in 11 patients within the follow-up period. Implant failure was seen in one patient, as the screw cut out of the femoral head. In conclusion, the 102° DCS showed promising results when used for fixing unstable intertrochanteric fractures. It is easier to apply in comparison to the 95° DCS, as it offers wider safety zone for insertion in the femoral neck, which allows a secure screw placement in the femoral head. Larger randomised comparative studies would be of value for further evaluation of the new device.
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