Uma análise retrospectiva de fraturas complexas do fêmur proximal tratadas cirurgicamente com placa de compressão bloqueada do fêmur proximal

Abstract

ObjectiveAnalyze the outcomes of proximal femoral locking compression plate (PF‐LCP) in these complex fractures. MethodsThis study retrospectively analyzed 21 proximal femoral fractures treated with PF‐LCP from June 2013 to February 2015. There were 15 females (71%) and six males (29%) with an average age of 61.4 years (range: 34–80 years). The peritrochanteric fractures constituted by intertrochanteric and subtrochanteric fractures were classified by the Boyd and Griffin classification and Seinshemier's classification, respectively. Among them, 16 cases (76%) were of intertrochanteric and five cases (24%) were of subtrochanteric fracture pattern. The functional outcome was assessed by Harris Hip Score and the Parker Palmer mobility score one year post‐surgery. ResultsAmong 21 patients, 19 patients obtained fracture union without further intervention; two patients required additional bone grafting. No cases of the hip screw cutting the femoral head were noted. There was no post‐operative mortality in this study. The average Harris Hip Score was 84.5 (range: 83–94). The assessment by Parker and Palmar mobility score was 7.5 (range: 4–9). ConclusionThe PF‐LCP is a good, stable alternative in the treatment of peritrochanteric femoral fractures. It provides good‐to‐excellent bone healing with reduced complications.