Outcomes of open reduction and internal fixation of femur trochanteric fractures with proximal femur anatomical plate

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Year-Number: 2022-3
Yayımlanma Tarihi: 2022-12-12 15:16:32.0
Language : İngilizce
Konu : Orthopedic
Number of pages: 71-77
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Aim: The aim of this study is to examine the results of the open reduction and proximal femoral anatomical plate (PFAP) fixation procedure, which we use in the surgical treatment of femoral trochanteric fractures, in terms of the risk of post-traumatic osteoarthritis (PTOA) development in the hip joint.

Methods: We retrospectively examined the results of 20 patients with open reduction and PFAP fixation out of 117 patients who underwent surgical treatment in our clinic due to trochanteric femoral fracture. All patients were operated on by the same surgeons using the same surgical method. Bone union was achieved in all of them at a mean follow-up of 22 months. The clinical outcomes of these patients were assessed using the Lequesne scoring system.

Results: There were 14 male and 6 female patients in the study (15 left and 5 right femur fractures). The average age was 48.75 years. The average operative time was 3.5 days (range: 1–11 days), the average follow-up time was 22 months (range: 10–48 months), and the average time to union was 4.1 months (range: 2.5–5 months). The Lequesne evaluation test score was an average of 4.53 points. According to the Lequesne scale, 3 of the patients had no risk of osteoarthritis, 8 had mild risk, 6 had moderate risk, 2 had severe risk, and 1 had very serious risk. On average, a mild risk result was found.

Conclusion: In trochanteric fractures, proximal femoral anatomic plate fixation surgery is associated with a low risk for osteoarthritis in the mid-term with a score of 4.53 according to the Lequesne scale.


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