Contralateral reversed distal femoral locking plate for fixation of subtrochanteric femoral fractures

Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
Paritosh GognaSushil Kumar Yadav

Abstract

Subtrochanteric fractures of the femur are being managed successfully with various intramedullary and extramedulary implants with reasonable success. However, these implants require precise placement under image intensifier guidance, which exposes the surgeon to substantial amount of radiation. It also restricts the management of these fractures at peripheral centers where facility of image intensifiers is not available. Keeping this in mind we designed this study to identify if contralateral reversed distal femoral locking plate can be used successfully without the use of image intensifier. Twenty-four consecutive patients (18 men and 6 women) with a mean age of 28 years (range 19-47 years) suffering subtrochanteric fractures of the femur underwent open reduction and internal fixation with reversed contralateral distal femoral locking plate. The outcome was assessed at the mean follow-up period of 3.2 years (range 2-4.6 years) using the Harris hip score. Twenty-one fractures united with the primary procedure, with a mean time of consolidation being 11 weeks (range, 9-16 weeks). One patient developed superficial suture line infection, which resolved with oral antibiotics. Another patient had a fall 3 weeks after surgery and bro...Continue Reading

Citations

Jan 9, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Surasak JitprapaikulsarnChawanan Patamamongkonchai
Jul 9, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·V Apivatthakakul, T Apivatthakakul

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