Evaluation of outcome of proximal femur locking compression plate (PFLCP) in unstable proximal femur fractures

Shah, Maulik; Kapoor, Chirag; Soni, Rishit; Patwa, Jagdish; Golwala, Paresh

doi:10.1016/j.jcot.2016.11.005

Cited by 16 publications

(20 citation statements)

References 30 publications

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“…In the present study, the mean age was found to be 59.04±18.45 years against 55.3±17.9 years and 59.6 years according to Prabhat et al and Shah et al respectively. 28,29 Our study also showed a bimodal distribution of patients.…”

Section: Discussionsupporting

confidence: 59%

Evaluation of functional outcome of intertrochanteric femur fractures treated with proximal femoral locking compression plate

Lingayat

Rathod

2021

Int J Res Orthop

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Background: The objective was to find out the clinical and functional outcome of intertrochanteric femur fractures treated with proximal femoral locking compression plate (PFLCP).Methods: The study was conducted on patients who underwent fixation of intertrochanteric femur fractures with PFLCP in department of orthopedics, GMCH, Aurangabad from January 2020 to January 2021. The patients were assessed clinically and functionally using Harris hip score and radiological evaluation at three, six and nine months.Results: At one year follow up, two patients had varus collapse, one had superficial infection and one had screw cut out. The mean Harris hip score at one month was 69.46 (52-76), at three months was 78.6 (58-88) and at nine months was 87.6 (64-96). The average operative time was 86.23 minutes (60-128 minutes), the average blood loss was 207.5 ml (170-250 ml) and the average time required for union was 15.16 weeks (10-24 weeks).Conclusions: Intertrochanteric fractures treated with PFLCP provided a strong angular stable construct and showed satisfactory outcomes.

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Section: Discussionsupporting

confidence: 59%

Evaluation of functional outcome of intertrochanteric femur fractures treated with proximal femoral locking compression plate

Lingayat

Rathod

2021

Int J Res Orthop

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“…Shah MD et al studied 20 patients and reported a mean union time of 18.75 weeks ± 3.67, and they had excellent results in 10 cases and four poor results. The mean Harris hip score was 82 ± 20.54, and they had complications such as four super icial and two deep infections and 2 cases with coxa valga (Shah et al, 2017). In Kumar N et al study of 30 patients, they achieved a union rate of 100% with the meantime to fracture union being nine weeks ranging from 8 to 10 weeks.…”

Section: Resultsmentioning

confidence: 97%

Management of Unstable Intertrochanteric Fractures with Proximal Femoral Locking Plate- A Prospective Study of 30 Patients

Subash

Vishnu

Damodharan

2021

ijrps

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Intertrochanteric fractures are quite common in the elderly age group due to the osteoporotic nature of the bone. Unstable fracture patterns are challenging to treat and would require an implant which would address the requirements. This study was performed to evaluate the functional outcome following management of these fractures with PFLP (Proximal femoral locking plate). Thirty patients with unstable intertrochanteric fractures who presented between January 2012 to January 2015 were managed by ORIF (Open reduction and internal fixation) with PFLP and were followed up for three years. Functional assessment was performed using the Harris hip score. There was a female preponderance seen in our study with the left side being more commonly affected. The most common mode of injury was slip and fall, and Boyd and Griffin type 3 was the most common fracture type seen. The mean Harris hip score was 83.6(82-95). We were able to achieve a 100% union rate in our series with minimal complications.ORIF with PFLP is a good treatment option in the management of unstable intertrochanteric fractures and gives good rates of union and functional outcomes.

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“…Ten (50%) cases had excellent Harris Hip Scores, 3 (15%) cases had good, 3 (15%) cases had fair and 4 (20%) cases had poor functional scores with an average HHS of 80.2 ± 28.54. The complication rate was 45% which included four cases (20%) of superficial infection, two cases (10%) of deep infection and four cases (20%) of late complications including non-union as well as mechanical deformation [15].…”

Section: Discussionmentioning

confidence: 98%

Management of unstable pertrochanteric fractures, evaluation of forgotten treatment options

Selim

Beder

Algeaidy

et al. 2020

SICOT-J

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Introduction: Unstable trochanteric fractures are challenging with a high rate of implant failure and re-operation. Cephalomedullary nails proved to be a rational management choice for these injuries, yet other management options have not been well assessed. The aim of this study was to compare the use of DHS with trochanteric stabilizing plate (TSP) and proximal femoral locked plate (PFLP) in unstable pertrochanteric fractures. Methods: This randomized controlled trial (RCT) included 40 patients (22 males, 18 females) with unstable pertrochanteric fractures (AO/OTA 31A2.2/A2.3). The patients were randomized into group 1 managed by DHS with TSP while group 2 was managed by PFLP. All patients were followed up for 1 year. Patients were assessed radiographically and clinically using Harris hip score (HHS) at 3, 6 and 12 months. Operative time, estimated blood loss and time to union were also compared. Results: The difference of intra-operative variables, including operative time and intra-operative blood loss, between both groups was statistically insignificant. Time to bony union was faster in the first group with a statistically significant P value (p = 0.04). Functional outcome per HHS was significantly better in group 1 (p < 0.01) and implant failure in group 1 occurred statistically lesser (p < 0.01). Discussion: DHS with TSP appears to be a good option of management for unstable pertrochanteric fractures. In contrast, the use of PFLP in unstable pertrochanteric fractures in the elderly does not appear to be a good alternative.

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Evaluation of outcome of proximal femur locking compression plate (PFLCP) in unstable proximal femur fractures

Abstract: PF-LCP is not recommended as a definitive implant but can be used as an alternative for the treatment of unstable proximal femoral fractures when there is no option available for other routinely used implants. Despite of its complications, PF-LCP is used where all implants fail.

Cited by 16 publications

References 30 publications

Evaluation of functional outcome of intertrochanteric femur fractures treated with proximal femoral locking compression plate

Evaluation of functional outcome of intertrochanteric femur fractures treated with proximal femoral locking compression plate

Management of Unstable Intertrochanteric Fractures with Proximal Femoral Locking Plate- A Prospective Study of 30 Patients

Management of unstable pertrochanteric fractures, evaluation of forgotten treatment options

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