title: The outcome in early cases of treatment of subtrochanteric fractures with proximal femur locking compression plate.
abstract: The objective of this study was to evaluate the outcome in early treatment of subtrochanteric fractures with proximal femur locking compression plate (PF-LCP).The patients included in this study were those with subtrochanteric fractures (AO type 32A-C) treated with PF-LCP (Synthes) between Jan 2009 and Jun 2011. The patient characteristics and details of clinical conditions were obtained from records. Clinical and radiographic follow-ups were done at one, two, four and 6 months intervals, and at one year. The primary outcome studied included fracture union and functional ambulatory status. Twenty-six patients were included in the study, 19 of whom were male with a mean age of 42.4 years. Fourteen patients (53.9%) had sustained AO type 32B fractures, the majority in motor vehicle accidents. Twenty-two fractures (84.6%) achieved union, while sixpatients (23.1%) had complications such as broken plate, varus collapse, and broken screw. Four patients (15.4%) underwent a second operation. At the end of the follow-ups, 25 patients (96.2%) were community ambulators. We conclude that PF-LCP is an effective alternative treatment for subtrochanteric fractures when properly performed.
  
  
  BACKGROUND
  Subtrochateric fracture, Proximal Femur Locking Compression Plate (PF-LCP), Outcome, Complication, Cerclage wire.
authors.affiliation: Department of Orthopedics, Trang Regional Hospital, Trang, Thailand.
authors.forename: U
authors.initials: U
authors.lastname: Gunadham
authors.affiliation: Department of Orthopedics, Trang Regional Hospital, Trang, Thailand.
authors.forename: J
authors.initials: J
authors.lastname: Jampa
authors.affiliation: Department of Orthopedics, Trang Regional Hospital, Trang, Thailand.
authors.forename: S
authors.initials: S
authors.lastname: Suntornsup
authors.affiliation: Department of Orthopedics, Trang Regional Hospital, Trang, Thailand.
authors.forename: B
authors.initials: B
authors.lastname: Leewiriyaphun