Comparison of proximal femur locking compression plate and proximal femur nail in treatment of complex proximal femoral fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background: Proximal femur fractures are common injuries that mostly affect the elderly population. In young and healthy individuals, the injury results from high energy trauma, whereas these fractures are common in the elderly persons due to low energy trauma like simple fall. Methods: 20 patients treated by proximal femoral locking compression plate and 20 patients treated by proximal femoral nailing which operated for complex proximal femoral fractures(AO31 A2.3 and A3.3) selected for this prospective study. Results: Average operating time in PF-LCP is 66.05 mins (range 55.72-76.58mins) and in PFN was 49 mins (range 39.46-58.54 mins). Average blood loss in PF-LCP was 361.50ml (range 303.98-419.02ml) and in PFN was 260.00ml (range 204.37-315.63 ml). 8(40.0%) patients treated by PF-LCP had postoperative complications in which 1 had early deep infection, 2 had proximal screw back out, 3 had varus collapse and 2 had shorting >1 cm. 4(20.0%) patients treated by PFN had postoperative complications in which 1 had screw back out 1 had varus collapse and 2 had shortening >1 cm. Radiological union was seen in all 40(100%) cases and Average Harris hip score in patients treated with PFN is 90.0 (range 83.79-96.21)) and in PF-LCP is 81.15(71.56-90.74). Conclusions: The Functional outcome was better for PFN then PF-LCP.
Authors and Affiliations
Dr. Yogendra Kumar, Dr. Hemeshwer Harshwardhan
Keywords
Related Articles
- EP ID EP486648
- DOI 10.22271/ortho.2018.v4.i2c.26
- Views 123
- Downloads 0
Issues in management of fractures complicated by compartment syndrome
Introduction: Compartment syndrome has been identified as an acute devastating orthopaedic emergency and early fasciotomy is the only way to prevent any complications This retrospective study proposes to analyse the issu...
A study of prevalence of staphylococcus aureus and its antibiotic susceptibility pattern in 100 osteomyelitis patients in a tertiary care teaching hospital
Background: Osteomyelitis is an important cause of morbidity in patients with bone infections in developing countries like India. Gram positive bacteria especially Staphylococcus aureus, classically causes this desease,...
Femoral neck fatigue fracture on morbid obesity: A case report
Introduction: Fatigue fractures are a type of stress fractures, and are due to abnormal stresses on normal bone. They most frequently occur in weight-bearing bones. The femoral neck localisation is rare. Objective: The a...
Literature review of quality of life and influencing factors in patients of cervical spondylosis treated by ACDF
Introduction: Influence of psychosocial factors on patients of cervical spondylosis need to be calculated as they plays an important role in patient’s quality of life (QOL). As anterior cervical discectomy and fusion (AC...
Role of precontoured clavicle plate in clavicular fractures
Plate prominence was noted in 2 patients at the end of 6 months though their functional outcome was on par with excellence according to the scoring scale. There was one case of non-union among the operated group at the e...