Practical: DHS

The patient should be supine on the operating table on traction.

The patient’s leg should be internally rotated by around 10 degrees.

I would perform a direct lateral incision.

I would make a 10-15cm incision starting two finger-widths distal to the greater trochanter.

I would dissect through skin, subcutaneous tissue, the fascia lata and split the vastas lateralis.

135 degree plate

2.5mm DHS guidewire

The guidewire should be placed with a tip-apex distance of <25mm

Posterior inferior positions are superior to anterior superior positions.