Abstract: Introduction: The trochanteric femur fracture are relatively common injuries. The most important goal of operative treatment is strong, stable fixation of the fracture fragment. Osteoporosis and severe communition makes fixation difficult with conventional methods leading to complications like varus malunion, implant failure and shortening. Proximal femoral nail has its own complication like screw backout, cut through etc. Hence we conducted a study to evaluate the outcome of proximal femoral locking compression plate.
Materials: A prospective study of 40 cases of trochanter femur fracture from 2011 and 2017 treated with proximal femoral locking compression plate (PFLCP) was done. Patients were followed up at 1month, 3 month, 6month, 1 year and 2 year, Results were evaluated using Harris Hip Score and radiological union.
Results: All the fractures united at final follow up, radiological union was noted at 16 weeks in 31 patients (76%) and remaining 9 patients showed radiological union at 20 weeks (24%). Out of 40 patients in our study 38 had normal union with only 2 patient had union in varus. No valgus deformity noted in our series. In all 40 cases there was no non union, avascular necrosis or secondary osteoarthritis noted. In our study, 19 patients had excellent results, 15 patients had good results, 4 patients had poor result according to Harris Hip score.
Conclusion: The procedure offers, faster mobilization, rapid return to activities of daily living, improves the quality of life and gave a long term solution in patients with trochanteric fracture of femur.
