Treatment of subtrochanteric fractures using the proximal femoral locked plate / Mohamed Husseiny Elamir Aboras ; Supervised Amr Wael Farag , Sherif Abdellatif Osman , Molham Mahmood Mohammad

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery

Subtrochanteric femur fractures are one of the most devastating injuries. Most of the fractures in the elderly results from trivial fall while in the younger age group it is mainly due to high energy trauma. Fixing subtrochanteric fractures properly is clinically challenging. Various implants both intramedullary and extramedullary are available for their fixation. To review short-term outcomes of proximal femoral locking compression plate (PF - LCP) fixation for subtrochanteric femoral fractures. 30 patients with subtrochanteric fractures were operated upon with open reduction and internal fixation with proximal femoral locked plate. 28 patients were available for final follow up after death of two patients. The mean age was 46.20 years. The mean operative time was 125.6 minutes, mean incision length was 18.33 cm, mean blood loss was 360 ml and mean follow up was 9.66 month. Union was achieved in all cases in 18.25 weeks. Complications included three cases of delayed union, five cases of superficial wound infection, two cases of malunion with varus deformity and shortening of 1.5 and 2 cm. Final evaluation according to harris Hip score was excellent in 15 cases (53.6%), good in 11( 39.3%) and fair in 2 ( 7.1%). The Proximal femoral LCP is a satisfactory and feasible method of treatment in subtrochanteric femur fractures

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