The purpose of this study was to evaluate the results of dynamic condylar screw in the management of subtrochanteric femoral fractures, regarding union time, implant failure rate; infection rate and functional out come. This prospective study was carried at the Department of Orthopedics BharatiVidyapeeth Medical College & Hospital,Sangli, Maharashtra . Study period included cases from Jan 2008 to Dec 2010. Total 52 consecutive patients with sub-trochanteric fracture were studied .Four patients were lost during follow–up and total 48 patients were finally assessed. The inclusion criteria included closedsubtrochanteric fractures in adults of both gender aged 20 years or above; Pathological fractures and Open fractures wereexcluded from the study.After fixation of fractures with dynamic condylar screw patients were followed -up for 6-12 months, the mean follow up period was 8 months. Results of treatment were assessed by the Radford criteria. Among 48 followed up cases, males were29(60.42%) and female 19(39.58%). Most common mode of injury was road traffic accidents in 32 patients (66.66%) and 10 patients had domestic fall & 6 had fall from height( High Velocity). All the patients underwent operative treatment by fixation of DCS after preliminary fitness protocol .Autogenous bone graft was donein 03 patients. The union rate in this series was (93.5%). Implant failure was observed in 03(6.25%) patients, 03 (6.25%) patients developed varus deformity and infection occurred in 02 (4.66 %). According to criteria of Radford, we achieved good to excellent results in81 % cases, fair in 6 (12.5 %) patients, poor in 03(6.25%0) patients. We conclude that some Sub-trochanteric fractures need open reduction and internal fixation to avoid complicationslike implant failure, nonunion, infection, and mal-union. In our scenariowe feel that DCS is a Sturdy ,Stable & Strong Implant for peculiar sub--trochanteric fractures.
