Comparison of proximal femur locking compression plate and proximal femur nail in treatment of complex proximal femoral fractures

Author(s): Dr. Yogendra Kumar and Dr. Hemeshwer Harshwardhan

Abstract: Background: Proximal femur fractures are common injuries that mostly affect the elderly population. In young and healthy individuals, the injury results from high energy trauma, whereas these fractures are common in the elderly persons due to low energy trauma like simple fall.
Methods: 20 patients treated by proximal femoral locking compression plate and 20 patients treated by proximal femoral nailing which operated for complex proximal femoral fractures(AO31 A2.3 and A3.3) selected for this prospective study.
Results: Average operating time in PF-LCP is 66.05 mins (range 55.72-76.58mins) and in PFN was 49 mins (range 39.46-58.54 mins). Average blood loss in PF-LCP was 361.50ml (range 303.98-419.02ml) and in PFN was 260.00ml (range 204.37-315.63 ml). 8(40.0%) patients treated by PF-LCP had postoperative complications in which 1 had early deep infection, 2 had proximal screw back out, 3 had varus collapse and 2 had shorting >1 cm. 4(20.0%) patients treated by PFN had postoperative complications in which 1 had screw back out 1 had varus collapse and 2 had shortening >1 cm. Radiological union was seen in all 40(100%) cases and Average Harris hip score in patients treated with PFN is 90.0 (range 83.79-96.21)) and in PF-LCP is 81.15(71.56-90.74).
Conclusions: The Functional outcome was better for PFN then PF-LCP.

DOI: https://doi.org/10.22271/ortho.2018.v4.i2c.26