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
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.
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