Introduction: Proximal femur fractures are a cause for significant morbidity & mortality in the elderly. These fractures need to be fixed surgically so as to help rehabilitate the patient at the earliest. Extra capsular fractures (Intertrochanteric fractures & Sub trochanteric fractures) when occur in osteoporotic bone are usually comminuted in nature. Choice of implant is of prime importance as the risk of implant failure is very high in such patients. This study was undertaken to see the functional outcome in management of osteoporotic proximal femoral bone fractures treated by open reduction & internal fixation with Proximal Femoral Locking Plate. Materials & Methods: In this prospective study conducted at MVJMC&RH, 40 elderly patients with Extra capsular fractures of the proximal femur (IT & ST) were treated with surgical fixation using PFLP from October 2014 to march 2017.Results: In the present study of 40 cases with an average age of patient is 65years with Male to Female ratio of 42.5%: 57.5%; 26 Intertrochanteric fractures & 14 Sub trochanteric fractures the outcome was found to be 25% (10) excellent, 32.5% (13) good, 32.5%(13) fair, 10% (4) poor result with Harris hip scoring system. 4 complications include 1 infection; 2 delayed union & 1 case of purely implant related complication like plate bending due to early mobilization & weight bearing. Conclusion:In view of the results obtained from our study which are comparable with the results obtained from similar studies; despite few unfavourable results and complications, Proximal FLP is a good option for treatment of proximal femur fractures with severe comminution and osteoporosis.
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