Key result
Proximal femoral locking plate linked to ~80% lower implant failure versus dynamic hip screw.
Why the study?
Pertrochanteric fractures represent a major public health challenge, prompting a comparison between dynamic hip screws and proximal femoral locking plates.
Does proximal femoral locking plate improve outcomes compared to dynamic hip screw in patients with pertrochanteric fracture femur?
Cohort (n=50)
No
Does proximal femoral locking plate improve outcomes compared to dynamic hip screw in patients with pertrochanteric fracture femur?
Absolute Event Rate: 60% vs 52%
p-value: p=0.5
PFLP is a feasible alternative to DHS for complex comminuted pertrochanteric fractures, offering marginally better functional outcomes despite longer operative times and greater blood loss.
May support PFLP over DHS in unstable pertrochanteric fractures; hypothesis-generating pending randomized confirmation.
Background: Pertrochanteric fracture represent perhaps the most important public health problem facing the orthopedic surgeon today. The purpose of the present study is to compare dynamic hip screw with proximal femoral locking plate (PFLP) in pertrochanteric fracture femur. Method: During the period from December 2019 to August 2021, 50 patients with pertrochanteric fracture femur who were admitted in the orthopaedics department were selected. The 25 patients treated with PFLP and 25 patients treated with dynamic hip screw according to the standardized protocol. Patients were followed up for the 1 year. Results: The mean operative time and average intraoperative blood loss was more in PFLP group when compared with DHS group it was statically significant. PFLP group has marginally better functional than DHS group. There was no difference in the radiological outcome between two group. Conclusions: PFLP can be feasible alternative to treatment of complex comminuted pertrochanteric fractures. It can be use in old age patients with osteoporotic bone which provide stable fixation.
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Parshuramkar et al. (2022) conducted a cohort in Unstable pertrochanteric fracture femur (n=50). Proximal femoral locking plate (PFLP) vs. Dynamic hip screw (DHS) was evaluated on Excellent or Good Harris hip score (p=0.5). Proximal femoral locking plate provided marginally better functional outcomes and a lower rate of implant failure (4% vs 20%) compared to dynamic hip screw for unstable pertrochanteric femur fractures.
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