Abstract
Modification of ordinary jig (angle guide) used for DCS fixation so as to make it more suitable for biological DCS.
We have modified the jig used for ordinary DCS fixation so as to make it more suitable for biological DCS. In ordinary DCS jig, the hole for guide wire lies towards one end and the handle is attached at the other end. We have removed the handle and attached it adjacent to hole for guide pin so that the other end is free and can be slided in submuscular plane without actually exposing the whole length of femur. Subsequently, we beveled the free end and removed the sharp points and this helps in making sub muscular plane easily and with minimum soft tissue trauma.
The modified jig was applied in a patient with fracture subtrochanteric femur in submuscular plane through 2 cm long incision and its position confirmed by c-arm. Position was found to be similar to that observed with ordinary DCS jig.
The idea of making this presentation is that we can modify classical instrumentation used for internal fixation to make them suitable for biological fixation. This is a small innovation in that direction.
