[Osteosynthesis of fractures of the coxal femoral end with the dynamic compression hip screw].

Results of 179 surgical osteosynthetic procedures applying the dynamic hip screw (DHS) are reported. 103 (65.2) patients were able to walk with or without cane after hospital discharge. 48 (30.4%) patients dependent on an assisting person while 7 (4.4%) patients are not able to walk at all. 46 patients had been controlled clinically in a time-period of 4 months up to 6 years post-surgically. Results indicate an ideal application of the DHS for intertrochanteric femoral fractures, whereas it's application is limited to all other types of femoral fractures occurring near the capital region. The DHS proves to be suited to either avoid or postpone prosthesis in very young patients; it also can be favoured for high aged patients with short life-expectancies in femoral neck fractures of the medial and lateral type.