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Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)

Mohd Rashid, Zaraihah and MN, Nurhafizah and Y, Shukri and Mohd Yusof, Nazri (2019) Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP). Malaysian Orthopaedic Journal, 13 (Supplement A). ISSN 1985-2533 E-ISSN 2232-111X

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Abstract

INTRODUCTION: Incidence of unstable proximal femoral fracture is increasing in trend and the treatment is challenging. Operative treatment offers various selection of implant including plate and intramedullary nail. The purpose of this study is to compare radiological and functional outcome between both implants: PFNA and PFLCP. METHODS: This is a single centre observational cohort study involving all patients with unstable proximal femur fracture, admitted from January 2012 till December 2017. Plain pelvic and hip radiographs at immediate, 6 month and 1 year post-operative. Neck shaft angle (NSA) and its difference on contralateral side measured. Radiological outcome evaluated prevalence of varus malalignment and quality of fracture reduction. Functional outcome is measured by using Lower Extremity Functional Scale (LEFS). RESULTS: Sample population is 91 patients. Radiological and functional outcome didn’t differ significantly (p>0.05) but PFLCP group had shown significant shorter union time (table 1,2). DISCUSSIONS: Association of radiological and functional outcome between both implants was statistically insignificant (p>0.05), which concurrent with the study by Singh AK, 2017, Li GX, 2012. CONCLUSION: Both implants were effective in treating unstable proximal femur fractures. REFERENCES: 1. Singh AK et al.Treatment of Unstable Trochanteric Femur Fracture:PFNA versus PFLCP. Am. Journal. 2017.

Item Type: Article (Meeting Abstract)
Additional Information: 3756/74933
Uncontrolled Keywords: fracture, proximal femur, fixation
Subjects: R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User: Nazri Mohd. Yusof
Date Deposited: 22 Oct 2019 21:11
Last Modified: 09 Jan 2020 20:35
URI: http://irep.iium.edu.my/id/eprint/74933

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