Abstract: The modified method of Biplane Double-supported Screw Fixation (Modified BDSF) (Calcar buttressed screw fixation) of femoral neck fractures is disclosed. BDSF is applied using three standard bone screws laid in two vertical oblique planes in the femoral neck: the inferior (distal) screw is placed at an obtuse angle in the posterior oblique plane, and touched on the inferior (distal) and on the posterior cortices of the femoral neck; the middle screw and the proximal screw are laid in the anterior oblique plane and in parallel to each-other, with the middle screw touched on the distal femoral neck cortex. With BDSF of the three screws, two are weight-bearing and act as console beams: the distal screw and the middle screw, each of them having two supporting points in the distal fragment: medial (on the distal femoral neck cortex), and lateral (in the place of screw entry into the lateral femoral cortex).

Abstract: The Modified anatomical direct lateral approach (Vitosha approach), a novel approach in hip arthroplasty, preserving the iliofemoral ligament and restoring the joint capsule, providing higher initial joint stability and easier rehabilitation without the need for post-operative patients' dislocation precautions is provided. The fascial incision curves along the posterior aspect of the greater trochanter and ends at its lower border, preventing a split of vastus lateralis muscle. The anterolateral periosteal layer which conjoins the gluteus medius and vastus lateralis muscles is sharply elevated from the greater trochanter. Gluteus medius muscle and the underlying gluteus minimus are split along its fibers and retracted anteriorly. A vertical capsular incision is made anterior to the femoral shaft, starting from the basicervical line and extending proximally along the longitudinal body axis, with the iliofemoral ligament fibers remained intact.

Abstract: The Modified anatomical direct lateral approach (Vitosha approach), a novel approach in hip arthroplasty, preserving the iliofemoral ligament and restoring the joint capsule, providing higher initial joint stability and easier rehabilitation without the need for post-operative patients' dislocation precautions is provided. The fascial incision curves along the posterior aspect of the greater trochanter and ends at its lower border, preventing a split of vastus lateralis muscle. The anterolateral periosteal layer which conjoins the gluteus medius and vastus lateralis muscles is sharply elevated from the greater trochanter. Gluteus medius muscle and the underlying gluteus minimus are split along its fibers and retracted anteriorly. A vertical capsular incision is made anterior to the femoral shaft, starting from the basicervical line and extending proximally along the longitudinal body axis, with the iliofemoral ligament fibers remained intact.

Abstract: The modified method of Biplane Double-supported Screw Fixation (Modified BDSF) (Calcar buttressed screw fixation) of femoral neck fractures is disclosed. BDSF is applied using three standard bone screws laid in two vertical oblique planes in the femoral neck: the inferior (distal) screw is placed at an obtuse angle in the posterior oblique plane, and touched on the inferior (distal) and on the posterior cortices of the femoral neck; the middle screw and the proximal screw are laid in the anterior oblique plane and in parallel to each-other, with the middle screw touched on the distal femoral neck cortex. With BDSF of the three screws, two are weight-bearing and act as console beams: the distal screw and the middle screw, each of them having two supporting points in the distal fragment: medial (on the distal femoral neck cortex), and lateral (in the place of screw entry into the lateral femoral cortex).