2.1. Conventional DHS. A longitudinal skin incision 10–
15 cm in length was made over the lateral aspect of upper
thigh, starting from the middle of the greater trochanteric
prominence and extending down the lateral aspect of femoral
shaft. The fascia lata was incised longitudinally in the line
of skin incision. The vastus lateralis muscle was split under
direct vision. Fracture was reduced and its confirmation done
with fluoroscope. Following fixation of the fracture in the
standard fashion, a drain was used as per surgeon’s preference,
and the incision was closed in layers.
2.2. Minimally Invasive DHS. All fractures in this study
received adequate closed reduction under c arm guidance
(anatomical to 10∘ of valgus on anteroposterior radiograph
and anatomical on lateral radiograph) prior to the start
of operation. The incision was placed under fluoroscopic
guidance by the identification of the site on the hip that
corresponded to the position of the fracture. The size of the
incision was not longer than 5 cm in any case. The iliotibial
band and vastus muscles were split through one incision.
After the insertion of a guide wire, reaming was carried out
through this incision. The lag screw was inserted as usual
and the guide wire was removed. After this barrel plate was
also introduced through the same incision, turning the barrel
from180∘ to 90∘ as shown in Figure 1.The guidewirewas then
reintroduced through the side plate barrel and then rotated
until the side plate lied suitably under the soft tissues. The
guidewirewas then passed through the lag screwunder c arm
guidance. The barrel was then engaged in the lag screw and
advanced in the conventional fashion. The side plate screws
were then placed in the usualmanner through side plate holes
by retracting the skin and subcutaneous tissue with a right
angled soft tissue retractor. A drain was used according to