A CLINICAL STUDY OF PROXIMAL FEMUR LOCKING COMPRESSION PLATE (LCP-PF) IN THE MANAGEMENT OF COMMUNITED INTERTROCHANTERIC AND SUBTROCHANTERIC FRACTURES OF THE FEMUR

Abstract

S. Hari Babu1, K. Satish2, G. Suresh Babu3, L. Anand4

Fractures of proximal femur and hip are relatively common injuries in elderly individuals. The incidence of peritrochanteric and intertrochanteric fracture is also increasing among young population, who sustain high energy trauma Rigid Internal fixation and early mobilization has been the standard method of treatment. A combination of orthopaedic surgery and early postoperative physiotherapy and ambulation is the best approach. The overall goal in the treatment of hip fractures is to return the patient to pre-morbid level of function. AIMS & OBJECTIVE: To analyse the anatomical and functional outcome of the treatment with LCP-Proximal femur. METHODOLOGY: The present study consists of 12 adult patients of peritrochanteric factures of femur satisfying the inclusion criteria, treated with Proximal Femoral Locking Compression Plate at S. V. R. R. Govt. General Hospital, Tirupati during the period of nov 2013 to Oct 2015. INCLUSION CRITERIA: Age >18years, comminuted trochanteric and sub trochanteric fractures, Signed written informed consent. EXCLUSION CRITERIA: Inter trochanteric fractures involving piriformis fossa, Compound fractures. Pathological fractures. Any displacement of a femoral neck fracture. Associated malignancy. RESULTS: Average age incidence in the present study was 62.7 years., Predominantly males (75%) were affected., Most cases occurred after a fall 10 (50%) cases which was statistically significant, Right side involvement was more common., Average post-operative stay was 13.5 days., Out of the 12 cases, evaluated using Salvati-Wilson scoring: 3 cases (25%) had good, 8 cases (66.67%) fair, 1 case (8.33%) had poor score, Average weight bearing time was14.5 weeks, Average union rate was 19.45 weeks.

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