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.

DOI: https://doi.org/10.22271/ortho.2017.v3.i4m.130