title: Minimally invasive management of unstable proximal femoral extracapsular fractures using reverse LISS femoral locking plates.
abstract: The efficacy of the reverse Less Invasive Plating System in the management of unstable proximal femoral extracapsular fractures was retrospectively evaluated. Twenty-seven patients with complex proximal femoral fractures were identified. There were three open fractures. The mean age was 71 years (range; 65-79). The mean follow up was 24 months (range; 15-32). The main outcome measures were union, union time, requirement for secondary procedures, development of deep infection, pain, and functional impairment. Nonunion was observed in one patient. The average Harris hip score at the last assessment was 73 points (range 58-85). The outcome was adversely affected by concomitant medical problems, anatomical reduction and fixation of the plate. The use of this plate in the management of proximal femoral fractures of all types may be a safe and alternative method to other treatment options.
authors.affiliation: Taksim Training and Research Hospital, Orthopedics and Traumatology Department, Taksim, Istanbul, Turkey. ufukozkaya2004@yahoo.com
authors.forename: Ufuk
authors.initials: U
authors.lastname: Ozkaya
authors.forename: Fuat
authors.initials: F
authors.lastname: Bilgili
authors.forename: Ayhan
authors.initials: A
authors.lastname: Kilic
authors.forename: Atilla Sancar
authors.initials: AS
authors.lastname: Parmaksizoglu
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Kabukcuoglu
mesh_terms: D000368:Aged; D001860:Bone Plates; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D020127:Recovery of Function