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The dynamic hip screw (DHS) is a widely utilized device in orthopedic surgery designed for the treatment of intertrochanteric fractures of the femur, which are common in elderly patients, particularly those with osteoporosis. The DHS system comprises a screw that is inserted into the head of the femur and a sliding plate that is fixed to the femoral shaft, allowing for the dynamic stabilization of the fracture. This construct facilitates compression of the fracture site under weight-bearing conditions, promoting bony union while minimizing the risk of complications associated with static fixation. The procedure for the insertion of a DHS begins with careful positioning of the patient, generally in a lateral decubitus position. This allows for optimal access to the hip joint. Fluoroscopy is often employed during the operation to ensure precise placement of the components. After making the necessary incisions and exposing the fracture site, the orthopedic surgeon reduces the fracture, aligning the bone fragments accurately. The lag screw is then inserted through the femoral head into the neck, post which a plate is secured along the lateral aspect of the femur using locking or non-locking screws. One of the significant advantages of the DHS is its ability to allow slight movement at the fracture site, which can help stimulate healing and reduce the risk of nonunion. The device also provides a stable construct that is biomechanically favorable, particularly during the early phases of rehabilitation when weight-bearing is initiated. Moreover, the DHS system is associated with a lower rate of complications, such as screw cut-out or loss of fixation, compared to other fixation methods like intramedullary nails. However, surgical skill and experience are critical in ensuring proper placement and alignment of the DHS, as misalignment can lead to suboptimal outcomes. Postoperatively, patients typically undergo a rehabilitation program that includes physical therapy to restore mobility, strengthen the surrounding muscles, and improve overall function. The rehabilitation process is tailored to the patient's individual needs, taking into account their overall health status and bone quality. Additionally, regular follow-up appointments are essential to monitor healing and ensure that the fixation remains intact. Complications, while relatively rare, can include infection, excessive bleeding, or blood clots, which necessitate careful patient assessment and management. The dynamic hip screw serves as a testament to advancements in orthopedic technology, providing an effective solution for managing complex fractures while fostering recovery and restoring mobility. As surgical techniques and implant designs continue to evolve, the DHS remains a cornerstone in the treatment of hip fractures, significantly impacting patient outcomes in the geriatric population. Its design facilitates early mobilization, thereby enhancing the quality of life for individuals who experience these debilitating injuries, making it an invaluable tool in modern orthopedic practice.