Common "Dynamic Hip Screw" queries answered by top doctors | iCliniq

Dynamic Hip Screw

A dynamic hip screw is often used while placing an implant inside the hip joint. It is most helpful for elderly people who suffer hip fractures, mainly due to osteoporosis. Such a screw allows the head of the thigh bone to move in a certain manner, which promotes better bone healing and strengthening.

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A dynamic hip screw was inserted; later, a second fracture occurred, causing reduced mobility and pain. What can be done?

Query: Hello doctor, Please review the images 11 months post-operative, when a dynamic hip screw was inserted five days after the hip fracture. A wait of five days was observed before the initial surgery. Unfortunately, a secondary fracture has occurred due to the hardware, leading to decreased mobility a...  Read Full »


Dr. Anuj Gupta

Answer: Hello,Welcome to icliniq.com.The images you have sent me do not allow me to identify any secondary fracture. Could you please provide more details about your concerns? Are you able to bear weight on that limb? Do you have any recent X-rays available for review?Please revert back with the answers.Tha...  Read Full »

What is the reason for the difference in position of hip implants in the x-rays?

Query: Hello doctor, I have been suffering from bilateral AVN. I had a hip replacement surgery done on the right side one and a half months ago. I am attaching the X-ray reports of those taken immediately after the surgery and also a more recent one taken last week. I have a doubt regarding the screw movem...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I have gone through both the reports (attachment removed to protect patient identity). What you have observed is true, but it is not because of the screw moving. This is because of the way the X-ray has been taken. I reassure you there is nothing to worry. Your bone ...  Read Full »

How is an intertrochanteric fracture treated?

Query: Hello doctor, My father is 93 years old with several comorbidities. He fell suddenly, and this happens to be his first fracture. High blood pressure and diabetes both are under control with medication. He also has two stents and a bioprosthetic valve. He suffered a fractured hip. It appears to be an...  Read Full »


Dr. Sumit Chawla

Answer: Hi, Welcome to icliniq.com. The images attached have very poor quality (attachment removed to protect patient identity). Your father has a three-part intertrochanteric fracture and does not require a hip arthroplasty. Hip salvage surgery is indicated. My choice for an implant is a proximal femoral...  Read Full »

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