Tips and Tricks in Extracapsular Hip Fracture Fixation

Ankit Desai1, *, Josh Jacob1, Alex Trompeter2
1 Specialist Registrar, Ashford and St. Peter’s Hospital, Surrey, UK
2 Consultant Trauma Surgeon, St. Georges University Hospital, London, UK

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© 2017 Desai et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Trauma and Orthopaedics, Rowley Bristow Unit, Ashford and St. Peter’s Hospital, Chertsey, Surrey, KT16 0PZ, UK; Tel: 01932872000; E-mail:


Aside from the decision-making in how to fix an extracapsular hip fracture, surgeons must be conversant with systems, implants and how to maximize their potential in the shortest operative time. We present a series of steps used in our unit when performing both DHS and intramedullary nail surgery to avoid the commonest problems and maximize our patients’ recovery potential.

Keywords: Extracapsular, Fracture neck of femur, Management, Dynamic hip screw, Extracapsular, Hip fracture.