Vol. 6 No. 01 (2022)
Original Article

Functional Outcome of Comminuted Trochanteric and Sub-Trochanteric Femoral Fractures by Using Proximal Femoral Locking Compression Plate

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Md. Rafiqul Islam Khan
Assistant Professor, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
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Jahidul Islam
Registrar, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
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Md. Khademul Islam
Assistant Professor, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
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Md. Shafiqul Islam
Assistant Professor, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
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Md. Mehedy Hasan
Assistant Registrar, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal, Bangladesh
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Abstract

Background: The Comminuted trochanteric and subtrochanteric femoral fractures are considered as one of the most difficult fractures to treat in the orthopaedic surgery and they associated with high incidence of nonunion, malunion. Various implants,
both intramedullary and extramedullary, are available for their fixation. Objective: To assess the success rate of proximal femoral locking compression plate osteosynthesis in comminuted trochanteric and subtrochanteric femoral fracture. Methods & Meterials: 20 consecutive patients with comminuted Trochanteric and subtrochanteric fractures were operated upon with PF-LCP. Detailed clinical conditions of all patients, duration of operation, technical difficulty with the implant, hospital stay period were recorded. Patients were visited at 6 weeks interval till union then 3 monthly. The Harris Hip Score was used to document hip function at final follow-up. Results: There were fifteen excellent (75%), two good (10%), two fair (10%) and one poor (5%) results according to Harris hip score. No instance of implant failure was recorded. Conclusion: Fixation of comminuted subtrochanteric
fractures with PF-LCP in lateral decubitus approach without per operative image intensifier provides stable fixation with high union rate and fewer complications.

 

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Published 15-08-2022

Keywords

  • Proximal femoral locking compression plate,
  • Femoral Comminuted trochanteric and subtrochanteric fracture,
  • plate osteosynthesis

How to Cite

1.
Khan MRI, Islam J, Islam MK, Islam MS, Hasan MM. Functional Outcome of Comminuted Trochanteric and Sub-Trochanteric Femoral Fractures by Using Proximal Femoral Locking Compression Plate. Planet (Barisal) [Internet]. 2022 Aug. 15 [cited 2023 Feb. 4];6(01):293-301. Available from: https://bdjournals.org/index.php/planet/article/view/198