SYNTHES 5
Indications for DCS plates
–Proximal femur: very proximally located, purely sub-
trochanteric fractures of types 32-A 1.1, A 2.1, A 3.1;
32-B 1.1, B 2.1, B.3.1.
– Fractures of type 33-A (extra-articular, supracondylar fractures
of the distal femur)
– Fractures of type 33-C1/C2/C3 (fully articular fractures
of the distal femur)
Contraindications for DCS plates
– Pertrochanteric fractures or trochanteric fractures extending
to the subtrochanter.
Indications for the DHS locking device
The locking device is used if there is a risk of severe
shortening of the femoral neck due to telescoping of
the head fragment.
–Group A 2 and A 3 fractures in young patients, particularly
fractures with a comminuted zone.
A 2.2 With several intermediate fragments
A 2.3 Fracture extending more than 1 cm below the
lesser trochanter
A 3.3 Multifragment fractures
Contraindication for locking device
– Osteoporotic bone