Treatment of displaced intra capsular fracture neck of femur by proximal femur locking compression plate (PFLCP): A case series evaluation

Abstract

Introduction: Treatment of choice for fracture neck of femur has always been a matter of debate since time immemorial. Till date there is no definite consensus regarding best implant for fixation of unstable intracapsular fracture neck of femur. We conducted this study to assess the results of fixation in such femoral neck fractures using proximal femur locking compression plate (PFLCP). Materials & Methods: The present study includes 10 cases of acute unstable fracture neck of femur in the age group of 18 to 65 years irrespective of sex treated by CRIF using PFLCP in our unit of Orthopedics department, Assam medical college and Hospital. Results: Six cases showed unfavorable results which later got converted to hip replacement in subsequent follow up. Four cases showed clinic-radiological union. Intra-articular penetration of screws was a common complication encountered in this study. Discussion & Conclusion: We conclude from our study that though this implant provides a rigid fixation at proximal femur but definitely requires some modifications during process of fixation while dealing with fracture neck of femur. Initially the results were encouraging but with subsequent follow up we encountered a higher failure rate with conventional sequence of fixation using PFLCP.