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STUDY OF FUNCTIONAL OUTCOME OF REVERSE LOCKING PLATE IN EXTRA-CAPSULAR FRACTURES OF THE PROXIMAL FEMUR

Dr. Abdul Munaf Saud, Dr. Syed Hahib Ullah , Dr. Mohammad Abid

Objective: To study the functional outcome of reverse locking plate in extra-capsular fractures of the proximal femur.Material and methods:This cross sectional study was conducted at Department of Orthopedic Surgery, Civil Hospital, Bahawalpur from January 2018 to December 2018 over the period of 1 year. Total 17 patients with extra-capsular fracture of proximal femur with one or more of the following: unstable fracture pattern, bowed femur, deformed femur, short skeleton, narrow femoral canal (diameter <8mm), open fracture presenting within 24 hours having age 10-80 years either male or female were selected for this study and functional outcome of reverse locking plate was assessed.Results:In present study union of fracture was achieved in all the cases. The mean duration of surgery in inter-trochanteric fractures was 135 ± 24.8 minutes and for sub-trochanteric fractures was 115 ± 22.8 minutes. Male patients were 13 and female patients were 3. Total 15 out of 17 patients attended follow-up for a minimum of 1 year. Partial weight bearing walking was started at 2 months in 6 patients, 3 months in 4 patients and at more than 4 months in 3 patients. Full weight bearing walking was started at 5 months in 11 patients, at 9 months in 3 patients and at 1 year in 1 patient. Conclusion: From this study, we conclude that unstable fractures unite satisfactorily within reasonable period of time by use of reverse distal femur locking plate. There were fewer complications, early mobilization and high patient satisfaction. Reverse distal femoral locking plate is a treatment option that needs to be evaluated further in order to recommend this surgery for specific subset of patients with hip fractures. Keywords: Unstable proximal femoral fractures, Extra-capsular fracture

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