scholarly journals Proximal femur locking compression plate in complex proximal femoral fractures: a retrospective analysis

2016 ◽  
Vol 2 (3) ◽  
pp. 104 ◽  
Author(s):  
Rajesh Govindasamy ◽  
Ramkumar Gnanasundaram ◽  
Saravanan Kasirajan ◽  
Jimmy J Meleppuram ◽  
Kumar Archit
Keyword(s):  
Femoral Fractures ◽  
Subtrochanteric Fracture ◽  
Fracture Pattern ◽  
Locking Compression Plate ◽  
Harris Hip Score ◽  
Proximal Femoral Fractures ◽  
Compression Plate ◽  
Hip Screw ◽  
One Year ◽  
Mobility Score

<p class="abstract"><strong>Background:</strong> Proximal femoral fractures are one of the most common fractures in old age patients. Fixation of these fractures is technically high demanding owing to the high risk of complications. The aim of our study is to analyze the outcomes of proximal femoral locking compression plate (PF-LCP) in these fractures.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analyzed 18 proximal femoral fractures treated with PF-LCP from May 2012 to May 2015. There were 12 females (67%) and six males (33%) with an average age of 59.6 years (range, 32 to 84 years). The peritrochanteric fractures constituted by intertrochanteric and subtrochanteric fractures were classified by Boyd and Griffin classification along with Seinshemier’s classification, respectively. Among that, 14 cases (77%) were of intertrochanteric and four cases (23%) were of subtrochanteric fracture pattern. The functional outcome was evaluated by harris hip score and the parker palmer mobility score one year after surgery.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 18 patients, 16 patients obtained fracture union without further intervention; two patients required additional bone grafting. There were no cases of hip screw cutting the femoral head. There was no post-operative mortality in our study. The average harris hip score was 85.5 (83-94). The assessment by parker and palmar mobility score was 7.6 (range 4-9).</p><strong>Conclusions:</strong> The PF-LCP is a good stable alternative in the treatment of complex proximal femoral fractures. It provides good to excellent bone healing with limited complications.

scholarly journals Proximal femur locking compression plate in Subtrochanteric Fractures : a prospective analysis

2019 ◽  
pp. 66-68
Author(s):  
Kailasnath M.S ◽  
K. Subramanian ◽  
G. Pugazhendhi
Keyword(s):  
Femoral Fractures ◽  
Early Mobilization ◽  
The Elderly ◽  
Bimodal Distribution ◽  
High Energy ◽  
Locking Compression Plate ◽  
Harris Hip Score ◽  
Osteoporotic Bone ◽  
Compression Plate ◽  
Mobility Score

Introduction:Sub-trochanteric femoral fractures are injuries that mostly affect the elderly population.Ithasa bimodal distribution. In young and healthy individuals, the injury results from high energy trauma, where as in the elder age group, most of the fractures are in osteoporotic bone resulting from a trivial fall. The aim of the surgery is to achieve initial stability and early mobilization of the patients and to avoid complications. The aim of our study is to analyze the outcomes of proximal femoral locking compression plate (PF-LCP) in these fractures. Materials and Methods:We prospectively analyzed30sub-trochantericfemoral fractures treated with PF-LCP from January 2015 to December 2018. There were 20 females (66.6%) and 10 males (33.4%) with an average age of 61.2 years (range, 36 to 75 years). The sub-trochanteric fractures are classified by Seinshemier's classification. The functional outcome was evaluated by Harris Hip Score and the Parker Palmer Mobility Score at 12 months follow-up. Results:Among 30 patients, 27 patients (90%) obtained fracture union without further intervention; 3 patients required additional bone grafting at the end of 3 months. There were no cases of hip screw cutting the femoral head. There was no post-operative mortality in our study. The average Harris Hip Score was 87 (80-93). The assessment by Parker and Palmar Mobility Score was 7.8(range 5-9). Conclusions:The PF-LCP is a good stable alternative in the treatment of sub-trochanteric femoral fractures. It providesgood to excellent bone healing with limited complications.

scholarly journals Proximal Femoral Locking Compression Plate for Proximal Femoral Fractures

2014 ◽  
Vol 22 (3) ◽  
pp. 287-293 ◽  
Author(s):  
Wei Ting Lee ◽  
Diarmuid Murphy ◽  
Fareed HY Kagda ◽  
Joseph Thambiah
Keyword(s):  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Proximal Femoral Fractures ◽  
Compression Plate

scholarly journals Factors Influencing Mortality in Patients on Antiplatelet Agents Presenting with Proximal Femoral Fractures

2011 ◽  
Vol 19 (3) ◽  
pp. 314-316 ◽  
Author(s):  
Rohit Maheshwari ◽  
Mehool Acharya ◽  
Maureen Monda ◽  
Radhakant Pandey
Keyword(s):  
Postoperative Complications ◽  
Blood Transfusion ◽  
Screw Fixation ◽  
Univariate Analysis ◽  
Femoral Fractures ◽  
Antiplatelet Agents ◽  
Proximal Femoral Fractures ◽  
Postoperative Blood Transfusion ◽  
Hip Screw ◽  
One Year

Purpose. To identify factors predicting one-year mortality in patients on clopidogrel presenting with proximal femoral fractures. Methods. 9 men and 22 women aged 64 to 97 (mean, 81; standard deviation, 8) years who had been taking clopidogrel for ischaemic heart disease (n=15), cerebrovascular disease (n=6), or both (n=10) presented with proximal femoral fractures. The time from injury to operation, type of anaesthesia, treatment method, and postoperative complications were reviewed. One-year mortality was analysed using the Kaplan-Meier curve. Factors predicting one-year mortality were identified. Results. The fracture configurations of the 31 patients included intracapsular femoral neck fracture (n=17), intertrochanteric fracture (n=13), and subtrochanteric fracture (n=1). 30 of the patients underwent hemiarthroplasty (n=16), dynamic hip screw fixation (n=9) or intramedullary hip screw fixation (n=5). The remaining patient underwent conservative treatment owing to metastatic prostate cancer. Of the 30 patients who underwent surgery, clopidogrel was discontinued at least 7 days prior to surgery, with the mean delay to surgery being 8.4 (range, 2–16) days. No patient had excessive blood loss at operation, although 7 patients received a blood transfusion postoperatively. 13 (43%) patients developed postoperative complications. The one-year mortality was 26% (8/31). Univariate analysis showed that factors predicting one-year mortality were spinal anaesthesia (p=0.04), postoperative blood transfusion (p=0.03), postoperative complications (p=0.03), and delay to surgery (p=0.03). Multiple regression analysis showed that delay to surgery (p=0.03) was the only independent predictor of one-year mortality, with a hazard ratio of 1.357 (95% confidence interval, 1.03–1.79). Conclusion. Surgery should be performed as soon as possible in medically fit patients having proximal femoral fractures who are taking clopidogrel, as delay to surgery is associated with increased one-year mortality.

scholarly journals Proximal Femoral Locking Compression Plate for Proximal Femoral Fractures

2015 ◽  
Vol 23 (1) ◽  
pp. 133-134
Author(s):  
Krishna Kumar Pandey ◽  
Lakhan Singh Maravi ◽  
Rajesh Turkar
Keyword(s):  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Proximal Femoral Fractures ◽  
Compression Plate

scholarly journals Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures

2016 ◽  
Vol 50 (4) ◽  
pp. 374 ◽  
Author(s):  
SampatS Dumbre Patil ◽  
SachinS Karkamkar ◽  
Vaishali Patil ◽  
ShaileshS Patil ◽  
AbhijeetS Ranaware
Keyword(s):  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Proximal Femoral Fractures ◽  
Compression Plate

scholarly journals Comparison between the outcome of proximal femoral locking compression plate and dynamic hip screw in intertrochanteric femoral fractures

2021 ◽  
Vol 8 (10) ◽  
pp. 2880
Author(s):  
Adnan Arif ◽  
Hamza Waqar Bhatti ◽  
Noman Ahmed Chaudhary ◽  
Abdullah Sadiq
Keyword(s):  
Demographic Data ◽  
Randomized Study ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Bone Union ◽  
Trochanteric Fractures ◽  
Implant Complications ◽  
Compression Plate ◽  
Hip Screw ◽  
Better Than

Background: Inter-trochanteric femoral fractures are associated with a high complication rate and mortality. This study aims to compare the proximal femoral locking compression plate (PFLCP) with dynamic hip screws (DHS) for inter-trochanteric femoral fractures in terms of mean bone union time.Methods: It was a prospective randomized study conducted at the department of orthopedics, Benazir Bhutto Hospital, Rawalpindi, Pakistan from June 2015 to December 2015. Sixty patients with a diagnosis of inter-trochanteric fractures, requiring orthopedic surgery, were included in the study. After randomization thirty patients underwent PFLCP fixation and the other thirty patients underwent DHS fixation. Patient information, demographic data, and functional level were assessed. Mean bone union time and implant complications were compared for the two treatment groups.Results: Patients who underwent PFLCP fixation demonstrated shorter bone union time (2.8±0.2 months) than those who underwent DHS fixation (3.2±0.1 months) (p<0.000). PFLCP group had 90% bone union whereas DHS group had 76.66% bone union at 12 weeks (p=0.16). Conclusions: PFLCP is better than DHS for intertrochanteric femoral fractures in terms of shorter mean bone union time and fewer complications.

scholarly journals CASE SERIES -A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF SUBTROCHANTERIC FEMORAL FRACTURES TREATED WITH PROXIMAL FEMORAL LOCKING COMPRESSION PLATE

2020 ◽  
pp. 1-3
Author(s):  
Ajay Krishna ◽  
Thiagrajan Pandian
Keyword(s):  
Functional Outcome ◽  
Case Series ◽  
Femoral Fractures ◽  
Good Method ◽  
The Elderly ◽  
Subtrochanteric Fracture ◽  
Locking Compression Plate ◽  
Bone Apposition ◽  
Femur Fractures ◽  
Compression Plate

Background and objective: Subtrochanteric fracture of femur and its complications account for significant morbidity and mortality especially in elderly.Proximal femoral locking compression plate helps in early Range of movements of the patient. Materials and Methods This study was done in SREE BALAJI MEDICAL COLLEGE AND HOSPITAL, CHROMEPETfrom August 2018 to May 2020.During this period 25 cases of adult patients with subtrochanteric fractures were treated with proximal femoral locking compression plate(PFLC). The classification used here was according to Seinsheimers and functional outcome was assessed using Traumatic hip rating score. Results: In our study of 25 patients 65% of them(16 patients) showed excellent results,30%(8 patients) showed good results,5%(1 patient)showed poor result due to Infection. Conclusion: Proximal femoral LCP is a good method for Subtrochanteric femur fractures in the elderly patients especially for severely communited fracture and with osteoporosis. Proximal femoral LCP gives the advantage of flexibility to surgeon to achieve angular stability or axial compression with plate to bone apposition.

scholarly journals Rescate de osteosíntesis intertrocantéricas y subtrocantéricas fallidas con un reemplazo articular. Técnica y resultados de una serie de 61 casos. [Rescue of failed inter - and subtrochanteric osteosynthesis with a joint replacement. Technique and results of a series of 61 cases.]

2018 ◽  
Vol 83 (2) ◽  
pp. 85
Author(s):  
Fernando Bidolegui ◽  
Sebastian Pereira ◽  
Gabriel Vindver
Keyword(s):  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Deep Infection ◽  
Subtrochanteric Fracture ◽  
Harris Hip Score ◽  
Replacement Technique ◽  
Cemented Stem ◽  
Long Stem ◽  
One Year ◽  
Hip Arthroplasties

<p><strong>Introducción</strong></p><p>El objetivo del trabajo es revisar los aspectos técnicos de la artroplastía de cadera como rescate de una osteosíntesis fallida de un fractura intertrocantérica o subtrocantérica así como evaluar los resultados funcionales y las complicaciones asociadas en una serie consecutiva de 61 casos.</p><p><strong>Materiales y Método</strong></p><p><strong></strong>Realizamos  61 artroplastías de cadera, en 61 pacientes, como rescate de una osteosíntesis fallida de una fractura intertrocantérica o subtrocantérica. El promedio de edad fue de 76  años (50-93). %). Treinta y cuatro casos (56%) fueron tratados inicialmente con un tornillo deslizante de cadera, 8 (13%) con un DCS, 2 (3%) con clavos de  Ender y  17 (28%) con un clavo de fémur proximal (corto o largo). Cincuenta y cinco 55 (90%) fueron rescatadas con una artroplastía total y 6 (10%) con una hemiartroplastía. En 17 (28%) casos utilizamos tallos no cementados y en 44 (72%) tallos cementados. En 12 casos el largo del tallo fue  estándar y 49 de revisión.</p><p><strong>Resultados</strong></p><p><strong></strong>Al año post-operatorio el HHS (Harris Hip Score) mejoró de  47 (rango de 32 - 54)  en el pre-operatorio a  84 (rango 67-93). Siete pacientes (11.5%) presentaron complicaciones. Tres (4.9%) fueron fracturas femorales periprotésicas. Dos (3.2%) luxaciones. Una (1.6%) infección y un (1.6%) hematoma de la herida.</p><p><strong>Conclusión</strong></p><p><strong></strong>La artroplastía de cadera se presenta como un método eficaz para el salvataje de las osteosíntesis fallidas de fracturas intertrocantérica y subtrocantéricas. La mayoría de los pacientes logran recuperar una significativa mejoría del dolor y de su capacidad funcional. Sin embargo, es un procedimiento más demandante y con más complicaciones asociadas que el de una artroplastía de cadera primaria.</p><p> </p><p><strong>Abstract</strong></p><p><strong></strong><br /><strong>Introduction</strong>: The aim of this study was to review technical issues of hip arthroplasty after a failed proximal femur fixation, as well as to evaluate results and complications associated with this procedure.</p><p><strong>Methods</strong>: Sixty-one hip arthroplasties after a failed intertrochanteric or subtrochanteric fixation were performed. Average age of patients was 76 years (range 50-93). Thirty-four patients (56%) were originally treated with a dynamic hip screw,  8 (13%) with a DCS, 2 (3%) with Ender nail and 17 (28%) with proximal femoral nail. Fifty-five patients (90%) were treated with total hip arthroplasty and 6 (10%) with hemiarthroplasty. Uncemented stem was used in 17 patients (28%) and a cemented stem in 44 (72%). A standard length stem was used in 12 patients, and a long stem in 49 cases.</p><p><br /><strong>Results</strong>: The HHS improved from 47 (range 32-54) before surgery to 84 (range 67-93) at one-year follow-up. Seven patients (11.5%) had complications: 3 (4.9%) periprosthetic femoral fractures, 2 (3.2%) dislocations, one (1.6%) wound hematoma, and one (1.6%) deep infection.</p><p><br /><strong>Conclusions</strong>: Hip arthroplasty after a failed fixation of an intertrochanteric or subtrochanteric fracture is an effective method. Pain and functional outcomes improve significantly in most patients. However, it is a more technically challenging procedure and causes more complications than primary hip replacement.</p>

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