Outcome Of Proximal Femur Locking Compression Plate (Pflcp) For Treatment Of Proximal Femur Fractures In Patients

Abstract

Background: Intertrochanteric fractures are the most common fractures of the proximal femur (PF). 50% of PF fractures are the most disturbing fractures that lead the problem of frailty in older people. Objectives: The purpose of this study was to value the outcome of locking proximal femoral compression plates in unstable proximal femoral fractures. Methods: In order to assess the effectiveness of PF-LCP in treating subtrochanteric or intertrochanteric femur fractures, alone or in combination, in patients admitted to the orthopedics department of Khyber teaching Hospital,Peshawar a potencies study was carried out. Results: Total 24 patients of femur fractures were included, among these cases 18 cases were intertrochanteric fracture and 6 were subtrochanteric fracture. 20 to >45 years age group were involved and among them 17 patients (70.83%) and 7 patients (29.16%) were males and females, respectively. No patient of 20 years of age was found in hospital related to fracturing, while 10 (41.66%) were from > 45 years of age. Majority of patients had right-sided fracture. Out of 24 patients, 17 patients (70.83%) were able to sit cross-legged and can squat on ground without any problem. Out of total 24 patients, 10(41.70%), 7(29.16%), 4(16.70%) and 3(12.50%) of patients showed radiological union between 21-30, 0-10, >30 and 11-20 weeks, respectively. Average rate of union is 19 weeks. The majority 14(58.33%) of patients were started weight bearing at 16-20 week after surgery while 8.33% started after 25 week of surgery. Maximum complications observed in this study were superficial infection 5(20.83%) followed by deep infection 3(12.50%). Conclusion: There were few plaque-related complications and the functional outcome was excellent. As a result, many common complications of conventional electroplating can be avoided. Therefore, we recommend the use of locking plates, especially in elderly patients with osteoporosis and comminuted fractures.