https://imedsciences.com/ editor_ijims@hotmail.com
ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2015.131

Type of Article: Original Research

Volume 2; Issue 11: November 2015

Page No.: 191-195

DOI: 10.16965/ijims.2015.131

 

Study on the Efficiency of Fractures Treated With Proximal Femoral Locking Compression Plate

Ravi G.O 1,   Shaik Hussain Saheb *2.

1 Assistant Professor Department of Orthopaedics , JJM Medical College, Davangere, Karnataka, India.

*2 Assistant Professor Department of Anatomy, JJM Medical College, Davangere, Karnataka, India.

 

CORRESPONDING AUTHOR ADDRESS: Shaik Hussain Saheb, Assistant Professor, Department of Anatomy, JJM Medical College, Davangere, Karnataka, India. Mobile No.: +91-9242056660  E-Mail: anatomyshs@gmail.com.

ABSTRACT

Background: Extracapsular fracture neck of femur are common in moderate to high velocity injuries Fracture union is not a great problem due to proximal femoral anatomy. The primary goal of treatment is early mobilization to avoid secondary complications which may arise due to conservative treatment and due to other co-morbid complications of prolonged immobilization This can be achieved by proximal femoral locking compression plate,This allows early weight bearing and has a lower complication rate than other implants. The basic aim of present study is to observe the efficiency and outcome of fractures treated with Proximal Femoral Locking Compression Plate.

Materials and Methods: This is a prospective study of 21 cases of Extra capsular fracture neck of femur admitted to Victoria and Bowring and Lady Curzon Hospitals, Bangalore. treated with Proximal Femoral Locking Compression Plate (PF-LCP).

Results: In our study of 21 cases, cases 13 cases were intertrochanteric fracture and remaining 8 were subtrochanteric fracture with the mean age was 51.47 years. 13 patients (62%) had right-sided fracture and 8 patients (38%) had left-sided fracture. with right side being more common side affected. The average duration of stay in the hospital was 25 days; the average follow up was 18 months. Out of 21 patients in our study 16 patients (76%) are able to sit cross-legged and can squat on ground without any problem.

Conclusion:  In conclusion the potentiality of the Proximal Femoral Locking Compression Plate (PF-LCP) in varied indications shows its versatility. Although not free of complications our study has demonstrated excellent results. The procedure offers , faster mobilization,rapid return to activities of daily living, improves the quality of life and gave a long term solution in patients with extra capsular fracture neck of femur.

KEY WORDS: Intertrochanteric fractures, Subtrochanteric fracture, Proximal femoral locking Compression plate.

REFERENCES

  1. Wong PCN. Femoral neck fractures among the major racial groups in Singapore. Incidence pattern compared with non Asian communities. Singapore Med. 1984;5:150-157.
  2. Emily Banks,Gillian K. Reeves, Valerie Beral, Angela Balkwill, Bette Liu, Andrew Roddam, and for the Million Women Study Collaborators. Hip Fracture Incidence in Relation to Age, Menopausal Status, and Age at Menopause: Prospective Analysis. PLoS Med. 2009;6(11):e1000181.
  3. Zha ZeLin Chen, Zhongguo Gu Shang. Wang Y, Yang YY. Comparative study of intertrochanteric fractures treated with proximal femur locking compress plate in aged Source Hospital of Integrated Traditional and Western medicine of Wenzhou. 2011;24(5):370-3.
  4. Philip J Glassner, Nirmal C Tejwani Failure of proximal femoral locking compression plate: A case series. Journal of orthopedic trauma. 2011;25(2):76-83.
  5. Anders Enocson, Leif Mattisson, Carin Ottosson, and Lasse J Lapidus. Hip arthroplasty after failed fixation of trochanteric and subtrochanteric fractures. Acta Orthop. 2012; 83(5): 493–498.
  6. Wang Y, Yang YY, Yu ZH, Li CQ, Wu YS, Zheng XX. [Comparative study of intertrochanteric fractures treated with proximal femur locking compress plate in aged].Zhongguo Gu Shang. 2011;24(5):370–3.
  7. Ecker Malcolm L.et.al. Treatment of trochanteric hip fractures using compression screw. J Bone Joint Surg, 1975;57:23-27.
  8. Boyd HB, Anderson LD. Management of unstable trochanteric fractures. Surg Gynecol Obstet. 1961;112:633.
  9. Richard F. Kyle, MD; Jessica Cooper, MD. Total Hip Arthroplasty After Failed Fixation of Hip Fractures. 2006;29(9):783.
  10. H. Yeyse Moore etal. Treatment of intertrochanteric fractures of the femur: a comparison of the Richards screw-plate with the Jewett nail-plate. J Bone Joint Surg (Br). The Bone & Joint Journal 1983;65(3):262-7.
  11. Finsen V, Borset M, Buvik GE, Hauke I. Preoperative traction in patients with hip fractures. Injury 1992;23(4):242–4.
  12. Resch S, Thorngren K-G. Preoperative traction comparison between skin and skeletal traction in 78 patients. Acta Orthopaedica Scandinavica 1998;69(3):277–9.
  13. Shao-hong,WANG Wei-lin, et al. A comparative study of locking compression plate and Dynamic Hip Screw in Treatment of Femoral Intertrochanteric Fractures. Guide of China Medicine 2011-15 Latest Update.
  14. Minghua XIE Wenwei YAO Hangan et al. Efficiency Analysis of proximal femoral Locking Plate for the Treatment of Intertrochanteric Fractures.China Foreign Medical Treatment. 2010-12 Latest Update.

 

Download Full Text TOC