Fixation of Subtrochantric Fractures Using Distal Femoral Locking Compression Plate of Contralateral Side

Abstract

Introduction: Different implants are available to internally fix subtrochantric fracture of femur, due to anatomical & biomechanical reasons, the sub-trochanteric femoral fracture still a challenge for Orthopaedic Surgeons Objective: The purpose of this study was to evaluate the outcome in early treatment of subtrochanteric fractures of femur with distal femoral locking compression plate of contralateral side. Methods: Thirty patients were included in this study. Sixteen patients (53.3%) had AO type 32B fracture, while nine patients (30%) and five patients (16.6%) were classified as AO type 32A and 32C respectively. Road traffic accidents accounted for 21 patients (70%). Mean follow-ups were 11 ±6 months (range 6 to 19 months). 27 fractures (90%) achieved union, average union time in 14.5 weeks Ranging from 10 weeks to 20 weeks. while three patients (10%) had complications. In one patient the plate had broken, one had broken screw and nonunion of the fracture. At the end of the follow-ups, 29 patients (96.6%) were community ambulators.The Modified Harris hip score (MMHS) was used to evaluate the functional outcome of surgery Conclusion: We conclude that distal femoral locking compression plate of contra lateral side is as effective as PF-LCP and is an effective alternative treatment for subtrochanteric fractures when properly performed.