title: Outcome of pertrochantric fracture of the femur treated with proximal femoral locking compression plate.
abstract: Pertrochantric femoral fractures are one of the most common fracture in old patients with variety of complications. However fixing Pertrochantric femoral fractures properly is clinically challenging. We report the outcome of pertrochantric femoral fractures treated with Proximal Femoral Locking Compression Plate (PFLCP) using Minimal Invasive Percutaneous Plate Osteosynthesis (MIPPO) techniques which were evaluated clinically by Harris hip score and radiologically for a union at fracture site and implant related complication. The study included total of 33 patients (20 males and 13 females) with Pertrochantric femoral fractures. The mean ages of the patients were 57 years (23-88 years). Pertrochantric femoral fractures included both Intertrochantric and Subtrochantric femoral fractures. Patients were followed up at 2 weeks, 6 weeks, 3 months, 6 months and 1 year after the operation. Among the 33 patients, the union rate was 95% (31 patients). However there were 1 case of implant breakage and 1 case of non union. According to Harris Hip score the excellent and good results were 87.87% with no mortality during 1 year follow up period. The PFLCP can be feasible alternative to the treatment of Pertrochantric femoral fractures by providing biological healing and mechanical stability with limited occurrence of complications.
authors.affiliation: Department of Orthopaedics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal. chalise.pra01@gmail.com
authors.forename: P K
authors.initials: PK
authors.lastname: Chalise
authors.affiliation: Department of Orthopaedics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal.
authors.forename: A K
authors.initials: AK
authors.lastname: Mishra
authors.affiliation: Department of Orthopaedics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal.
authors.forename: S B
authors.initials: SB
authors.lastname: Shah
authors.affiliation: Department of Orthopaedics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal.
authors.forename: V
authors.initials: V
authors.lastname: Adhikari
authors.affiliation: Department of Orthopaedics, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal.
authors.forename: R P
authors.initials: RP
authors.lastname: Singh
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome