16
11
Insert compression screw
In Y-fractures, compression must be achieved using the
DHS/DCS Compression Screw (280.990).
First fix the plate to the femoral shaft with screws. Insert and
tighten the compression screw.
Particularly if the bone is osteoporotic, insert the compression
screw carefully and ensure that the DHS/DCS screw thread
is not stripped.
12
Reduce metaphyseal fracture component
Reducing the shaft fragment against the DCS plate can
achieve an anatomically correct reduction in respect
of varus/valgus deviations. The length and rotation must be
adapted by comparing the contralateral side.
13
Fix DCS plate
Using the DCP Hip Drill Guide 4.5 (322.430) and the Drill Bit
3.2 mm (310.310), drill neutral holes through the plate
holes. Fix the DCS plate using cortex screws 4.5 mm of the
appropriate length.
Note: With simple fractures, before fixing the plate, axial
compression can be generated between the distal joint block
and the shaft fragment using the Tension Device (321.120).
DHS/DCS Standard System
DCS plate 95°
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