• Users Online: 1
  • Print this page
  • Email this page
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


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
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

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]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed94    
    Printed13    
    Emailed0    
    PDF Downloaded12    
    Comments [Add]    

Recommend this journal