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Category: Volume 08 Issue 06 June 2020
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Title: Treatment of Unstable Trochantric Fractures Using Proximal Femoral Locked Plate

Authors: Amr Eltorky, Walid El Nawawy, Mohamed Aly, Ali Ibrahim Ahmed,  Ahmed M. Bassiony Ismail, Bishoy Bessada, Ramy Shehata, Mohamed S. A. A. Hamed, Alaa El Banna, Aly Salama

 DOI: https://dx.doi.org/10.18535/jmscr/v8i6.113

Abstract

Background: Proximal fractures of the femur remain one of the most challenging orthopedic problems. Every effort should be made to allow elderly patients to resume their pre-injury functional activity, thus reducing the postoperative complications caused by immobilization.

Aim: The aim of this work was to evaluate the results of using the proximal femoral locked plate in the management of unstable intertrochantric fractures.

Patients and Methods: This study included 20 patients who were admitted to El-Hadra University Hospital, Faculty of Medicine, Alexandria University, suffering from unstable trochanteric fractures between September 2014 and February 2016. Every patient was followed up for at least 6 months. The follow up period ranged between 6 to 21 months with a mean of 7.5 months.

The ethical committee in the Faculty of Medicine in Alexandria University accepted the performance of the study. An informed consent was taken from all patients subjected to this academic work.

A full workup including history, clinical examination, radiological examination and routine laboratory investigations was done for every patient.

Results: This study included 20 patients who were admitted to El-Hadra University Hospital, Faculty of Medicine, Alexandria University, suffering from unstable trochanteric fractures between September 2014 and February 2016. Every patient was followed up for at least 6 months. The follow up period ranged between 6 to 21 months with a mean of (7.5 ± 3.57) month. Two cases out of the 20 studied patients were enrolled from the final assessment because one had metal failure and was revised with a DHS 2 weeks after the index procedure and the second was infected and ended up with a Girdlestone procedure after 3 months. Therefore, the final results included only 18 patients. The duration of surgery in this study ranged between 55.0 – 180.0 minutes with a mean of 104.5 ± 35.4 minutes.

Conclusion: PFLCP is a fair implant choice in the treatment of unstable trochanteric fracture pattern

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Corresponding Author

Amr Eltorky

Department of Orthopedics Surgery and Traumatology, Faculty of Medicine, University of Alexandria