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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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1658-743X.291949

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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.

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