Indications

The DHS is indicated for the following fractures of the proximal femur

Intertrochanteric fractures

Subtrochanteric fractures*

Basilar neck fractures

The DHS is indicated for stable fractures, and unstable

 fractures in which a stable medial buttress can be

 reconstructed. The DHS provides controlled collapse

 and compression of fracture fragments. This results

 in stable fixation and prevents undue stress concentration

 on the implant

* For certain subtrochanteric fracture, a 95⁰ device

 (such as DCS) is the implant of choice

Contraindications

The DHS is not to be used in cases where there is a
high incidence of
Sepsis
Malignant primary or metastatic tumors
Material sensitivity
Compromised vascularity

Recommendations DHS

LCP DHS: for the use of shorter plates, especially in the
case of femoral neck fractures
For certain subtrochanteric fractures, a 95⁰ DCS plate is
recommended

Trochanter Stabilizing Plate (TSP)

Unstable pertrochanteric fractures especially multifragmentary fractures with a

separated or longitudinally split greater trochanter