Introduction:

the ideal treatment for stable fractures of the proximal end of the femur is the Dynamic Hip System.

Objective:

to evaluate the effectiveness of its use in such fractures.

Methodological design:

a longitudinal, descriptive, observational study of patients operated on for fractures of the proximal end of the femur was carried out at the José Ramón López Tabrane Provincial Hospital, Matanzas, between January 2013 and December 2015. The sample consisted of 128 patients.

Results:

we found a predominance of females (60%) and the most represented age group was 70-79 years old with 50 patients. Extracapsular fractures predominated with 122 patients, being within the DHS variety the 130 degree plate the most used in 81% of the cases. Seventy-eight percent of the patients were operated before 2 hours, presenting 12 local complications, among which the collapse of the fracture stood out with 4 patients. Seventy percent of the patients supported before 12 weeks, presenting 33% of deaths in the first year of surgery. Ninety-two percent of the patients were evaluated as being well at the end of the results.

Conclusions:

The Dynamic Hip System constitutes the ideal method of osteosynthesis in stable fractures with very good functional results and with early indication of weight load;we recommend its use in stable fractures of the proximal end of the femur because of its good results.

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