Role of Proximal Femoral Locking Plate in treatment of Subtrochanteric Fractures; Case series
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 3, Issue 1
Abstract
Objective: The aim of our study is to evaluate the radiological and functional outcome of subtrochanteric fractures treated with PFLCP (Proximal Femoral Locking Plate). The patients evaluated for clinical and radiological outcome. Method: The study is conducted upon 25 patients with subtrochanteric fractures admitted in our hospital. Their fractures fixed with PFLCP. The operating time, blood transfusion needed preoperatively and postoperatively were taken into account. They were followed up for evaluating functional, radiological outcome and complication if any. The functional outcome measured using Harris Hip Score, The radiological outcome by union at the fracture site. Results: Among the 25 patients in the study 22(88%) patients had fracture union without any further intervention, 1(4%) had implant failure requiring implant removal and fixing with PFLP and bone grafting and Two lost follow up due to death. The average Harris Hip score of the study group is 85.217. Two patients had shortening of operated limb but less than 2cm, One had superficial infection which subsided on administering iv antibiotics. Conclusion: Fixation of unstable subtrochanteric fractures with PFLCP gives good rate of union with minimal complications and is an acceptable and feasible alternative to intramedullary devices and better than conventionally used extramedullary devices.
Authors and Affiliations
R Gokul Nath, Sah Ansari
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