Results of Operative Treatment of Peritrochanteric Osteoporotic Fractures with Proximal Femur Locking Compression Plate. A consecutive study. [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-37657 | DOI: 10.14744/tjtes.2020.37657  

Results of Operative Treatment of Peritrochanteric Osteoporotic Fractures with Proximal Femur Locking Compression Plate. A consecutive study.

Sulaiman Sath, Adil Bashir, IFTIKHAR WANI
GOVERNMENT MEDICAL COLLEGE SRINAGAR

Background
Despite different treatment options available in peritrochantric fractures, the optimal implant to be used is still a matter of debate. With the advent of locking plate technology and its specific use in comminuted fractures and osteoporotic fractures, the interest in proximal femur locking compression plate is encouraging. We designed a study to assess the outcome of peritrochantric fractures treated by proximal femur locking compression plate. The objective of this study was to evaluate the results of peritrochantric fractures treated with proximal femoral locking plate (LCP) in patients above 60 years age.

Material and Methods
From December 2012 to January 2015, we treated 100 patients above 60 years age with Peritrochantric fractures with Proximal femoral locking plate. The Fractures were classified as per AO classification. We used Modified Harris Hip Score to evaluate clinical and functional results in these patients.

Results
In our study there were sixty two (n=62) females and thirty eight (n=38) males. The cause of injury was trivial trauma in 82.5 % cases. Most fractures (n=52) were A1 (AO Classification) while as A2 fracture constituted 43 fractures and 5 patients were in A3 group. The mean duration of union was about 3.4 months. Complications in our study included superficial wound infection in five patients (n=5) and Deep infection in one patient (n=1). Coxa vara with shortening in five(n=5) and screw back out in three patients. At final follow up patients were assessed by Modified Harris Hip Score. Excellent results were seen in fifty patients (n=50) while as Good results were seen in forty-two (n=42 Patients.

Conclusion
Proximal femoral locking plate is good alternative to other implants in treatments of peritrochantric fractures, more in unstable osteoporotic peri-trochantric fractures, although fractures to be fixed with this implant need to be properly evaluated preoperatively due to its high failure rate in some fractures particularly with significant medial comminution.

Keywords: Peritrochanteric fractures, Osteoporosis, Locking Plates.




Corresponding Author: IFTIKHAR WANI, India


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