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

Abstract

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.