Comparison of Proximal Femur Locking Compression Plate and Intramedullary Nailing in the Treatment of Sub-Trochanteric Fractures

Pisoude, Karim; Elahifar, Omid; Sohrabi, Mohammad Bagher; Khajemozafari, Javad

doi:10.5812/soj.91166

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…There is no concrete information about many aspects of femoral head fracture, including optimal management, outcomes, and complications [16][17][18][19][20]. As a general rule, Open Reduction and Internal Fixation (ORIF) is the treatment of choice for most patients with femoral head fracture.…”

Section: Discussionmentioning

confidence: 99%

The Outcome of Treatment of Femural Head Fracture: A Single-Center Retrospective Study

Yeganeh

Farahini

Hajializade

et al. 2020

J. Res. Orthop. Sci.

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Background: There is no concrete information about many aspects of femoral fracture, including its best management. We hypothesized that reporting the outcomes of patients managed with the same therapeutic algorithm would help the selection of best management strategies. Objectives: In this study, we report the outcomes and complications of femoral head fracture in patients treated according to our therapeutic algorithm. Methods: In a retrospective review of a prospectively collected orthopedic database, 41 patients with femoral head fractures were evaluated. Fractures were classified by the Pipkin classification system. The clinical outcome was assessed with the Harris Hip Score (HHS). In brief, our therapeutic algorithm included conservative treatment for the congruous joint of Pipkin type I and II, total hip arthroplasty for unfixable fractures of Pipkin type III, and IV, and fixation via three approaches otherwise (Smith-Peterson, Kocher, or surgical dislocation). Results: Of 41 cases, 34 cases (82.9%) had uncomplicated outcomes. The number of associated injuries was significantly more in patients with complicated outcomes (P=0.049). Avascular necrosis was the most common complication (n=5, 12.2%). Their Mean±SD HHS was 85.1±109. Accordingly, HHS scoring had poor, fair, good and excellent results in 4 (9.8%), 6 (14.6%), 13 (31.7%), and 17 (41.5%) patients, respectively. The mean HHS score was significantly lower in patients with complicated outcomes (P=0.007). The mean HHS score was not associated with types of fracture (P=0.071). Conclusion: The outcome of femoral head treatment was good to excellent in the majority of patients. However, patients who underwent total hip arthroplasty or had associated injuries are at higher risk of an inferior outcome.

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Section: Discussionmentioning

confidence: 99%

The Outcome of Treatment of Femural Head Fracture: A Single-Center Retrospective Study

Yeganeh

Farahini

Hajializade

et al. 2020

J. Res. Orthop. Sci.

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“…emoral Neck Fracture (FNF) is a prevalent condition accounting for approximately half of all hip fractures [1][2][3]. Femoral head nonunion following the fracture of the femoral neck is a major and challenging complication.…”

Section: Introductionmentioning

confidence: 99%

Valgus Osteotomy Outcome for Treating Femoral Neck Nonunion in Young and Active Patients

Gharanizadeh

Tayyebi

Esmaeli

et al. 2021

J. Res. Orthop. Sci.

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Background: Femoral neck fracture nonunion is a frequent and challenging complication, with several surgical options. Objectives: The present study reported the outcome of valgus osteotomy for treating femoral neck nonunion in patients aged <65 years. Methods: This case series research included young patients who underwent valgus osteotomy for treating femoral neck nonunion or device failure of the index surgery. The fixation of the osteotomy site was performed using either a dynamic hip screw or a fixed angle blade. The union of the neck and osteotomy site (subtrochanteric region) was evaluated by monitoring callus formation in the postoperative radiographs. Limb length discrepancy, Pauwels’ angle, and the neck-shaft angle were evaluated before the surgery and at the last follow-up. Postoperative complications were extracted from the explored patients’ profiles. Results: Twenty patients with a Mean±SD age of 27.2±10.8 years were examined in this study‎. The Mean±SD follow-up time of the patients was 6.1±3.9 years. The femoral neck was united in 18 patients in a Mean±SD period of 5.1±2.3 months. The Mean±SD limb length discrepancy was measured as 1.3±0.8 cm before and 0.5±0.7 cm after the ‏osteotomy. The Mean±SD Pauwels’ angle was calculated as 65.5±16.9º before and 32.4±16.2º after the osteotomy. The Mean±SD neck-shaft angle was computed to be 121.9±22.8º before and 144.5±17.7º after the osteotomy. Revision surgery was performed for 6 (30%) patients. This measure included device removal in 4 and total hip arthroplasty in 2 patient. Conclusion: Valgus osteotomy is a safe and efficient technique for managing femoral neck nonunion. Therefore‎, this approach is suggested as a good alternative for total hip arthroplasty, particularly in young and active patients‎.

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Comparison of Proximal Femur Locking Compression Plate and Intramedullary Nailing in the Treatment of Sub-Trochanteric Fractures

Cited by 2 publications

References 16 publications

The Outcome of Treatment of Femural Head Fracture: A Single-Center Retrospective Study

The Outcome of Treatment of Femural Head Fracture: A Single-Center Retrospective Study

Valgus Osteotomy Outcome for Treating Femoral Neck Nonunion in Young and Active Patients

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