Proximal femoral locking plate: A good alternate in comminuted proximal femoral fractures
Author(s): Dr. Riyaz Babu Shaik, Dr. Satya Kumar K and Dr. Cherukuri Akhila Sai Sree
Abstract:Introduction: Intertrochanteric and sub trochanteric fractures account for 50% of all fractures of the proximal femur. Surgical treatment is the preferred method in these fractures to reduce the complications of prolonged immobilization. Recently proximal femoral locking compression plate (PF-LCP) has been applied in the treatment of proximal femur fractures. Materials and methods: This is a prospective type of study of 12 cases of comminuted inter trochanteric and sub trochanteric fractures of femur treated surgically with proximal femoral locking compression plate (PF-LCP). All the cases were operated electivley on regular operation theatre days.Results: In age distribution, 6 (50%) patients were between 50-75years. The range of age was between 20-75 years, with mean age of 43.8years. In sex distribution, there were 8 (66%) males and 4(34%) females. Left lower limb was involved in 9 (75%) cases and right lower limb in 3 (25%) cases. In mode of injury, 8 cases (66%) were due to slip and fall and 4 cases (34%) were due to road traffic accident. Kickstand screw was used in 9(75%) cases and not used due to narrow femoral neck in 3(25%) cases. Proximal screw was back out two patients (16%). Varus collapse occurred in one patient (8%). Delayed union in two patients (16%). Conclusion: The PF-LCP is appropriate for complex and unstable proximal femoral fractures with poor bone quality.
Dr. Riyaz Babu Shaik, Dr. Satya Kumar K, Dr. Cherukuri Akhila Sai Sree. Proximal femoral locking plate: A good alternate in comminuted proximal femoral fractures. Int J Orthop Sci 2017;3(4):937-940. DOI: 10.22271/ortho.2017.v3.i4m.130