{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T19:14:26Z","timestamp":1759778066053,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,10,4]],"date-time":"2021-10-04T00:00:00Z","timestamp":1633305600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2021,10,4]]},"abstract":"<jats:p>The DHS system is an effective means of open reduction and internal fixation of proximal femur fractures. Postoperative complications are little described and deserve to be studied for better preventive and curative treatment. We report the observations of five (5) patients who presented postoperative complications specific to the DHS system at army instructional Hospital-Libreville. These described complications are related to deterioration of internal fixation leading to callus, nonunion, or infection. Those found are the cut out phenomenon, avascular necrosis of the femoral head, and the fracture of the DHS system. All these complications required surgical revision without functional repercussions at the last follow-up. Complications of internal fixation by the DHS system can be avoided by rigorous asepsis, adequate indications for surgery, and rigorous surgical techniques. Good management can restore hip function.<\/jats:p>","DOI":"10.1155\/2021\/4177203","type":"journal-article","created":{"date-parts":[[2021,10,4]],"date-time":"2021-10-04T20:11:35Z","timestamp":1633378295000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3268-8199","authenticated-orcid":true,"given":"F. M.","family":"Bombah","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Diawara","sequence":"additional","affiliation":[{"name":"Orthopedic and Traumatologic Surgery Department, Army Instructional Hospital, Libreville, Gabon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. Y.","family":"Ekani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Buea, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Nana","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Buea, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Mikiela","sequence":"additional","affiliation":[{"name":"Orthopedic and Traumatologic Surgery Department, Army Instructional Hospital, Libreville, Gabon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.06.021"},{"issue":"6","key":"2","first-page":"539","article-title":"Fracture of the great trochanter treated by dynamic hip screw plate: measure of impaction according to fracture type","volume":"84","author":"P. 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Hrubina","year":"2013","journal-title":"Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca"},{"key":"7","article-title":"Les fractures de la r\u00e9gion trochant\u00e9rienne","volume-title":"71e congr\u00e8s fran\u00e7ais de chirurgie","author":"P. Decoulx","year":"1969"},{"key":"8","first-page":"146","article-title":"Osteosynthetic material breakage in patients treated with DHS for proximal femoral fracture","volume":"91","author":"M. Hrubina","year":"2012","journal-title":"Rozheledy v Chirurgii: Mesicnik Ceskolovenske Chirurgicke Spolecnosti"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.rco.2008.06.006"},{"key":"10","first-page":"106","article-title":"Comparative study between DHS and PFN in management of trochanteric an subtrochanteric femoral fractures","volume":"3","author":"D. V. Prasad","year":"2017","journal-title":"International Journal of Orthopaedics"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2021\/4177203.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2021\/4177203.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2021\/4177203.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T23:54:26Z","timestamp":1699574066000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crior\/2021\/4177203\/"}},"subtitle":[],"editor":[{"given":"George","family":"Mouzopoulos","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,10,4]]},"references-count":10,"alternative-id":["4177203","4177203"],"URL":"https:\/\/doi.org\/10.1155\/2021\/4177203","relation":{},"ISSN":["2090-6757","2090-6749"],"issn-type":[{"type":"electronic","value":"2090-6757"},{"type":"print","value":"2090-6749"}],"subject":[],"published":{"date-parts":[[2021,10,4]]}}}