The Outcome in Early Cases of Treatment of Subtrochanteric Fractures with Proximal Femur Locking Compression Plate

Journal Title: Malaysian Orthopaedic Journal - Year 2014, Vol 8, Issue 2

Abstract

The objective of this study was to evaluate the outcome in early treatment of subtrochanteric fractures with proximal femur locking compression plate (PF-LCP).The patients included in this study were those with subtrochanteric fractures (AO type 32A-C) treated with PF-LCP (Synthes) between Jan 2009 and Jun 2011. The patient characteristics and details of clinical conditions were obtained from records. Clinical and radiographic follow-ups were done at one, two, four and 6 months intervals, and at one year. The primary outcome studied included fracture union and functional ambulatory status. Twenty-six patients were included in the study, 19 of whom were male with a mean age of 42.4 years. Fourteen patients (53.9%) had sustained AO type 32B fractures, the majority in motor vehicle accidents. Twenty-two fractures (84.6%) achieved union, while sixpatients (23.1%) had complications such as broken plate, varus collapse, and broken screw. Four patients (15.4%) underwent a second operation. At the end of the follow-ups, 25 patients (96.2%) were community ambulators. We conclude that PF-LCP is an effective alternative treatment for subtrochanteric fractures when properly performed.

Authors and Affiliations

U Gunadham, J Jampa, S Suntornsup, B Leewiriyaphun

Keywords

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  • EP ID EP306828
  • DOI 10.5704/MOJ.1407.011
  • Views 127
  • Downloads 0

How To Cite

U Gunadham, J Jampa, S Suntornsup, B Leewiriyaphun (2014). The Outcome in Early Cases of Treatment of Subtrochanteric Fractures with Proximal Femur Locking Compression Plate. Malaysian Orthopaedic Journal, 8(2), 22-28. https://www.europub.co.uk/articles/-A-306828