A PROSPECTIVE COMPARATIVE STUDY OF A SUBTROCHANTERIC FRACTURES TREATED WITH LONG PROXIMAL FEMUR NAIL AND PROXIMAL FEMUR LOCKING PLATE.

Dr Nirup N. C, Prof Dr V.Vijay Narasimman Reddy

Abstract


Subtrochanteric area is usually described as the region from the lesser trochanter to 5cm distal of proximal femur. Fractures occurring in the area between the isthmus of the femoral canal and the lesser trochanter are considered subtrochanteric fractures.

Surgical treatment for these types of fractures is a tough orthopaedic task. Our main objective of this prospective case series is to find out which is the better surgical treatment options between the long proximal femur nail and proximal femur locking plate in treatment of subtrochanteric fractures. In this study we have recruited 20 patients of subtrochanteric fractures who came to Sree Balaji Medical College And Hospital, Chennai from January2016 to December 2018.10 cases were treated with Proximal femur locking plate and 10 cases were treated by long Proximal femur nail. We found out that in this case series that PF-LCP had severe blood loss and operating time was more compared to those managed by long PFN. Out of 10 cases managed by PF-LCP 8 cases went for sound union, 2 cases went for non union requiring bone grafting and later went in for union. In 10 cases surgically treated with long PFN 9 cases went for sound union, 1 case had non union which require bone grafting and later went in for union. We came to a conclusion that long PFN is superior option for surgical management of subtrochanteric fractures than PF- LCP because long PFN has lesser operating time, much faster than PF-LCP and also has lesser interoperative blood loss.


Keywords


Subtrochanteric fracture, long proximal femur nail (long PFN), proximal femur locking plate (PF-LCP), Intramedullary locking nail.

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References


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