Proximal Femur Locking Plate: An Alternative Implant For Unstable Proximal Femoral Fractures.

Abstract

Pertrochanteric fractures are of intense interest globally. Incidence has increased significantly during recent decades and this tendency will probably continue to rise in near future due to increased span of life. Before the introduction of suitable fixation devices, the treatment was predominantly conservative. This conservative approach has now fallen into disrepute because of the high complication rate , making operative management preferred treatment. The present study is undertaken to study the role of surgical management and assess its functional outcome in Pertrochanteric and subtrochanteric fracture .The study was carried out in patients treated for closed displaced pertrochanteric and subtrochanteric fractures , from Feb 2015 to Jan 2017. A total of 45 patients with closed pertrochanteric and subtrochanteric fracture were included in the study. Patients were between the age group of 24 to 76 years with 30 males and 15 females. Fractures were classified according to Boyd and Griffin and Seinsheimer's for intertrochanteric and subtrochanteric fractures respectively. Functional Outcome was evaluated according to HARRIS HIP SCORE , with mean score of 87.6. Excellent score was noted in 51.11% , Good in 31.11% , Fair in 17.7% with no poor results. Treatment goal of unstable proximal femoral fractures is stable fixation, early mobilization with least complications. This was achieved more satisfactiorily with the use of PFLCP . So, finally to conclude PFLCP represents a feasible alternative for unstable proximal femoral fractures( + osteoporosis ).