Outcome Of 95 Degree Condylar Blade Plate In Complex Proximal Femur Fractures: Study Of 30 Patients
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background- Angled Blade Plates have been introduced in the 1960s by the AO and Synthes and belong still to surgeons basic armatorium used for fracture treatment, revision surgery and correction osteotomies. They serve as a tension band plate whenever possible (i.e., condylar plates with medial bony buttress). Due to their fixed-angle shape, successful application needs careful planning, concise orientation in all planes (AP and lateral views, rotation) and precise preparation of the channel for the blade. The purpose of this study was to study the use of 95 degree condylar blade plate in complex proximal femur fractures and evaluate the results for union rates, complications and functional outcomes. Methods - Total 30 patients with complex proximal femur fractures were enrolled in our study. Out of 30 patients, 2 were lost to follow up. The inclusion criteria for this study were age between 18-50 years, all complex proximal femur fractures where nailing is not possible because of involvement of entry point and where proximal containment of the nail is not possible. Other indications were Narrow Medullary Canal, Non availability of the medullary canal because of distal femur fixation with an implant, while pathological fractures and fractures in less than 18 years people were not included. After fixation of the fractures with 95 degree blade plate, the patients were followed up every 1 month till radiological union was achieved. Results were evaluated using the HARRIS HIP SCORE & KYLE’S CRITERIA for clinical and radiological assessment after 1, 4 and 6 months from the day of surgery. Results- Among the 30 cases enrolled in our study, 2 patients were lost to follow up. Out of the 28 patients, 18 (64.3%) were males and 10 (35.7%) were females. Mode of injury in most of the patients was road side accident which accounted for fractures in22 (78.5%) patients. Radiological union was seen in 23 out of the total 28 patients (82.1%). The patients were evaluated post operatively using Harris Hip Score and Kyle’s criteria. Good to excellent results in Harris hip score were seen in 71.4% of the patients while 17.8% of the patients showed poor results. The average Harris Hip Score in our study was calculated as 79.3. Conclusions- 95 degree condylar blade is an effective method of reduction of complex proximal femur fractures where nailing is impossible or is extremely difficult.
Authors and Affiliations
rajan sarad, Raj kumar aggarwal, manpreet Singh, ARYAN kakkar
Keywords
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