Outcome of proximal femur shaft fractures in school going children treated with locking compression plates

Shah, Faaiz Ali; Ali, Mian Amjad; Naeemullah,

doi:10.12669/pjms.37.5.3938

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…PFLCP is recommended in revision procedures following corrective osteotomies of malunions and non-unions of the proximal femur, as well as in sub trochanteric fractures where the use of an intramedullary implant is prohibited by distal implants [8]. For the treatment of proximal femur shaft fractures in 60 patients (6 to 12 age group), Shah FA, et al [9] employed locking compression plates. There were 23 oblique fractures, 20 spiral fractures, 11 transverse fractures, and 6 comminuted children.…”

Section: Introductionmentioning

confidence: 99%

A comparison of clinical outcomes between narrow and broad dynamic compression plate for femur fractures

Hans. De Monsef

2024

World J. Adv. Res. Rev.

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Purpose: To review the short term performance 4.5/5.0mm Wise-Lock Narrow Dynamic Compression Plate with LC under cuts and 4.5/5.0mm Wise-Lock Broad Dynamic Compression Plate with LC under cuts for femur fractures in terms of postoperative complications and failure rates. Methods: The total number of 46 patients, 24 to 55 years’ age group, who underwent internal fixation with wise-lock narrow and broad dynamic compression plate for femur fractures were reviewed. These implants were manufactured at Auxein Medical Private Limited Sonipat (India). The wise-lock narrow dynamic compression plates were implanted to 24 patients (18 Male and 05 Female) and broad dynamic compression plates were implanted to 22 patients (15 Male and 08 Female). These plates were made up of SS 316L and Ti6Al4V alloy respectively. Clinical and radiological follow-ups were conducted at the end of 30 days, 90 days, 180 days, 270 days and 365 days after surgery to examine the bone union, non-union & other related complications. During the one year of follow-up by the surgeon the patient's health status was analysed by the American society of anesthesiologists grade and the visual analogue score (VAS) was also determined. Results: Patients were followed up for one year. Out of 24 patients who were treated with wise-lock narrow dynamic compression plate, stainless steel, 04 patients (03 males & 01 female) were faced the complications of pain. However, out of 22 patients who were treated with broad dynamic compression plate, titanium, 02 patients (02 males) developed complications of pain. No biomechanical issue related to screw loosening, corrosion, bending, or other factors was not detected in 46 patients. Conclusions: Femur plate fixation is feasible for the treatment of femur fracture. The clinical outcomes and prognosis of patients are dependent on the accuracy of intraoperative reduction and surgical expertise.

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Section: Introductionmentioning

confidence: 99%

A comparison of clinical outcomes between narrow and broad dynamic compression plate for femur fractures

Hans. De Monsef

2024

World J. Adv. Res. Rev.

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Titanium elastic nails vs locking plate in pediatric subtrochanteric femur fractures: A systematic review and meta-analysis

Zhang

Yang²,

Zhao³

et al. 2023

Front. Pediatr.

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ObjectiveTitanium elastic nails (TENs) and locking plates (LPs) are currently the main internal fixation for treating pediatric subtrochanteric femur fractures, and the optimal choice of internal fixation is controversial. This study aimed to systematically evaluate the effectiveness and safety of TENs and LPs in treating subtrochanteric fractures in children to provide a theoretical basis and reference for clinical treatment.MethodsThe literature related to TENs and LPs for treating subtrochanteric fractures in children was searched using the CNKI, PubMed, Cochrane, Embase, and Web of Science, and the search time frame was from the establishment of the database to October 2022. Two evaluators screened the literature according to the inclusion and exclusion criteria and extracted relevant data. Meta-analysis was performed using Stata14.0 software.ResultsA total of 9 studies with 407 patients with subtrochanteric femur fractures were included in the final screening, including 210 cases with TENs and 197 cases with LPs. Meta-analysis results showed that compared with the locking plate, TEN had a shorter operative time [WMD = −1.3, 95%CI(−1.94,-0.66), p < 0.01], less intraoperative bleeding [WMD = −84.45, 95%CI(−111.09, −57.82), p < 0.01], shorter fracture healing time [WMD = −1.3, 95%CI(−1.94,−0.66), P < 0.01], shorter hospital stays [WMD = −2.80, 95% CI(−4.63,−0.98), p < 0.01], and earlier full weight bearing [SMD = −0.48, 95% CI(−0.91,−0.04), p < 0.05] but more intraoperative fluoroscopy [WMD = 28.23, 95% CI(15.22,41.25), p < 0.05]. The overall complication rate was high [OR = 3.52, 95% CI(1.96,6.34), p < 0.05], and the postoperative period was prone to angulation, rotation, and inversion deformity [OR = 3.68, 95% CI(1.40, 9.68), p < 0.05]. No significant difference in the incidence of lower limb inequality between the two types of internal fixation [OR = 0.83, 95% CI(0.38, 1.85), p > 0.05] and no significant difference in the Harris score of the hip at the last follow-up between the two types of internal fixation [WMD = −0.67, 95% CI(−2.01,0.67), p > 0.05] were found.ConclusionIn comparison to LPs, TENs have a shorter operation time, less intraoperative bleeding, and a shorter fracture healing time, and the child can be fully weight-bearing earlier. Locking plates can reduce the operator's x-ray exposure, and the incidence rate of postoperative angulation, rotation, and inversion deformity is low. Therefore, TENs and LPs are the best internal fixation methods for treating subtrochanteric fractures in children.

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Outcome of proximal femur shaft fractures in school going children treated with locking compression plates

Cited by 2 publications

References 26 publications

A comparison of clinical outcomes between narrow and broad dynamic compression plate for femur fractures

A comparison of clinical outcomes between narrow and broad dynamic compression plate for femur fractures

Titanium elastic nails vs locking plate in pediatric subtrochanteric femur fractures: A systematic review and meta-analysis

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