Proximal femur locking compression plate fixation for senile stable intertrochanteric femoral fractures: outcomes and complications

doi:10.3969/j.issn.2095-4344.2015.26.021

Abstract

Abstract:

BACKGROUND: Intertrochanteric femoral fractures are one of the most common fractures in old patients. How to effectively fix has a great challenge for orthopedic surgeons. No consensus on which fixation method is optimal has been obtained in the academia.
OBJECTIVE: To evaluate the clinical therapeutic effects and complications of minimally invasive percutaneous proximal femur locking compression plate for senile stable intertrochanteric fractures.
METHODS: From May 2010 to May 2012, 98 patients (34 males and 64 females) with stable intertrochanteric fractures were treated with minimally invasive percutaneous proximal femur locking compression plate fixation. The mean age was 76 years (range, 59-93 years). The mean time between fractures and operation was 3 days (range, 1-5 days). Patients were followed up regularly after treatment. Healing time, Harris score of hip function recovery and the occurrence of complications were evaluated.
RESULTS AND CONCLUSION: All patients were followed up for 12-24 months. All incisions obtained healing by first intention. All fractures reached clinical healing, and the healing time was 12-20 weeks (16 weeks on average). There was no fixation failure and loosing, rotation, crispatura deformity or screw cutting the femoral head. The function of the hip joint was assessed according to the Harris scoring: excellent in 75 cases and good in 18 cases, with the excellent and good rate of 95%. These data verify that proximal femur locking compression plate can be a feasible alternative to the treatment of stable intertrochanteric fractures. The patients obtained satisfactory outcomes, with less complication, indicating that there is a good biocompatibility between the implant and elderly host.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Femoral Fractures, Surgical Procedures, Minimally Invasive, Internal Fixators, Postoperative Complications

CLC Number:

R318

Wang Kan-shi, Zhao Lei, Zhou Chao. Proximal femur locking compression plate fixation for senile stable intertrochanteric femoral fractures: outcomes and complications[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(26): 4208-4212.

Figures/Tables 1

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