| ORIGINAL ARTICLE |
|
| Year : 2018 | Volume
: 3
| Issue : 2 | Page : 14-17 |
|
|
Management of failed subtrochanteric fractures with a proximal femoral nail by a reverse supracondylar locking plate
Mohammed Lafi Shaher Al-Otaibi
Associate Professor, Surgery Department, College of Medicine, King Khalid university, Abha, Kingdom of Saudi Arabia
Correspondence Address:
MD, FRCSC Mohammed Lafi Shaher Al-Otaibi
Associate Professor, Surgery Department, College of Medicine, King Khalid University, P.O. Box 641, Abha, Abha
Kingdom of Saudi Arabia
 Source of Support: None, Conflict of Interest: None
|
|
|
Objective: To show the advantages of distal femoral anatomical locking plates for salvaging failed subtrochanteric femoral fractures. Material & Methods: 11 patients (9 males, 2 females) with subtrochanteric fractures with nonunion following implantation with a PFN (10 patients) or an interlocking nail (1 patient) were managed by removal of the implant, open reduction, freshening of bony ends, and internal fixation by a reverse supracondylar locking plate along with autogenous corticocancellous bone grafting. All patients were followed up clinically and radiologically. Functional outcomes were assessed in terms of the Harris Hip score. Results: All patients showed union at an average of 23.2 weeks after revision surgery. The Harris Hip score at the most recent follow-up was 84.6. Functional outcomes were excellent in 18.1%, good in 45.4%, fair in 27.2%, and poor in 9% of patients. Conclusion: A reverse supracondylar locking plate can be used as a viable option for failed primary osteosynthesis in subtrochanteric fractures and is associated with good functional outcome.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
