Outcome of Fixation of Comminuted and Unstable Intertrochanteric and Sub-Trochanteric Femoral Fractures by using Proximal Femoral Locking Plate

Abstract

Objective: The purpose of this study was to evaluate the functional and radiological outcome and post-operative complications associated with proximal femoral locking plate applied for the treatment of intertrochanteric and sub-trochanteric femoral fractures.

Study Design: Prospective case series study

Place and Duration of Study: This study was conducted at the Orthopaedic Complex, Quaid-e-Azam Medical College/ Bahawal Victoria Hospital, Bahawalpur from March, 2017 to February, 2018.

Materials and Methods: 23 patients (11 males and 13 females) with age range from 20 to70 years having comminuted and unstable intertrochanteric (according to Boyd and Griffin classification) and sub-trochanteric femoral fractures (according to Russell-Taylor classification) were operated. Post-operative follow up and evaluation was done for six months by using Harris Hip Score.

Results: Out of 23 patients operated, 01(4.3%) patient developed superficial skin infection, 01(4.3%) patient had implant failure due to early weight bearing while another 01(4.3%) suffered non-union for which bone grafting was done. Overall results at six month follow up according to Harris Hip Score were excellent in 08(34.7%), good in 09(39.1%), fair in 05(21.7%) and poor in 01(4.3%).

Conclusion: This was concluded that Proximal Femoral Locking Plate is a good device for the treatment of comminuted intertrochanteric and sub-trochanteric femoral fractures especially with associated osteoporosis and lateral wall instability.