PROXIMAL FEMUR LOCKING COMPRESSION PLATE IN SUBTROCHANTERIC FRACTURES : A PROSPECTIVE ANALYSIS
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 8
Abstract
Introduction:Sub-trochanteric femoral fractures are injuries that mostly affect the elderly population.Ithasa bimodal distribution. In young and healthy individuals, the injury results from high energy trauma, where as in the elder age group, most of the fractures are in osteoporotic bone resulting from a trivial fall. The aim of the surgery is to achieve initial stability and early mobilization of the patients and to avoid complications. The aim of our study is to analyze the outcomes of proximal femoral locking compression plate (PF-LCP) in these fractures. Materials and Methods:We prospectively analyzed30sub-trochantericfemoral fractures treated with PF-LCP from January 2015 to December 2018. There were 20 females (66.6%) and 10 males (33.4%) with an average age of 61.2 years (range, 36 to 75 years). The sub-trochanteric fractures are classified by Seinshemier's classification. The functional outcome was evaluated by Harris Hip Score and the Parker Palmer Mobility Score at 12 months follow-up. Results: Among 30 patients, 27 patients (90%) obtained fracture union without further intervention; 3 patients required additional bone grafting at the end of 3 months. There were no cases of hip screw cutting the femoral head. There was no post-operative mortality in our study. The average Harris Hip Score was 87 (80-93). The assessment by Parker and Palmar Mobility Score was 7.8(range 5-9). Conclusions:The PF-LCP is a good stable alternative in the treatment of sub-trochanteric femoral fractures. It providesgood to excellent bone healing with limited complications.
Authors and Affiliations
Dr Kailasnath M. S, Dr K. Subramanian, Dr G. Pugazhendhi
Keywords
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