European Journal of Molecular & Clinical Medicine

Abstract

Peritrochanteric fractures consume major part of orthopaedic injuries with high morbidity and mortality affecting almost all age groups. These fractures are difficult to treat specially the unstable types and unstable fractures unite with difficulty of reduction of fracture and there are high chances of malunion and nonunion. For the last 15 to 20 years different modifications of both the extramedullary and intramedullary devises have been done.
Aim and Objective: The treatment goal is to achieve anatomic reduction with a stable fracture fixation to allow early functional rehabilitation. There are limited studies on proximal femur locking compression plates in peritrochantric fractures and the aim OF present study was to evaluate its outcomes.
Material and Method: The study was conducted on patients having peritrochanteric fractures fulfilling inclusion and exclusion criteria in SGRD Hospital attached to SGRDUHS Vallah, Amritsar from April 2021 to July 2022. Proximal femur locking compression plating was done and its clinical, functional and radiological outcomes were evaluated.
Results: The mean neck shaft angle in our study at 6 months was 124.37. The mean of HHS in our study at 1 month, 3 months and 6 months was 35.17, 64.10 and 81.83 respectively with 20% excellent, 46.7% good, 23.3% fair and 10% poor results and P value was found to be <0.001(significant). In our study Mean RUSH score at 1 month, 3 months and 6 months was 15.50, 21.23 and 23.87 respectively and p value was found to be <0.001(highly significant) In our study, 25 (83.3%) out of 30 cases showed union. Mean time for union in our study was 16.8 weeks.
Conclusion: Our study concluded that despite the advances in surgical techniques and fixation devices, certain groups of proximal femur fractures continue to be a treatment challenge. Few of the disadvantages associated with PF LCP are relatively difficult operative technique and mechanical hardware failure with varus collapse