Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study

Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study

Unstable fractures of proximal femur of the pertrochanteric and subtrochanteric region are challenging injuries due to the high loads transmission across the affected part of the bone to the hip joint. The selection of the implants remained controversial but many studies favouring intramedullary imp...

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Main Author: Lee, Mohammad Faizal Nikman
Format: Thesis
Language:English
Published: 2017
Subjects:
RC31-1245 Internal medicine
Online Access:http://eprints.usm.my/43075/1/Dr._Mohammad_Faizal_Nikman_Lee-24_pages.pdf
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spelling my-usm-ep.430752019-04-12T05:25:07Z Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study 2017 Lee, Mohammad Faizal Nikman RC31-1245 Internal medicine Unstable fractures of proximal femur of the pertrochanteric and subtrochanteric region are challenging injuries due to the high loads transmission across the affected part of the bone to the hip joint. The selection of the implants remained controversial but many studies favouring intramedullary implants for fractures’ fixation. The nature of the bone with strong muscular action with high compressive forces acting medially are responsible for intraoperative and postoperative complications and difficulties. Varus malalignment is one of the commonest complication found in proximal femur fractures. This study was done to evaluate the incidence of varus malalignment in unstable extracapsular proximal femur fracture. METHODS: 60 patients with closed unstable fracture of proximal femur involving pertrochanteric and subtrochanteric region were subjected into 2 groups of fixation and retrospectively evaluated. 30 patients each for proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) group were operated. Incidence of varus malalignment immediately post operation, quality of fracture’s reduction immediately post operation and implant’s sustainability of fracture’s reduction at 6 months post operation were analyzed for both groups. RESULTS: Immediately after fracture’s fixation, incidence of varus malalignment was higher in PFLCP group (23.3%) compared to PFNA group (13.3%). However the quality of fracture’s reduction immediately post operation and implant’s sustainability of fracture’s reduction at 6 months between both implants were not statistically significant. CONCLUSIONS: PFLCP offered comparable result as PFNA for osteosysnthesis of unstable extracapsular proximal femur fracture in term of varus malalignment on immediate and 6 months post operation. 2017 Thesis http://eprints.usm.my/43075/ http://eprints.usm.my/43075/1/Dr._Mohammad_Faizal_Nikman_Lee-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic RC31-1245 Internal medicine
spellingShingle RC31-1245 Internal medicine
Lee, Mohammad Faizal Nikman
Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study
description Unstable fractures of proximal femur of the pertrochanteric and subtrochanteric region are challenging injuries due to the high loads transmission across the affected part of the bone to the hip joint. The selection of the implants remained controversial but many studies favouring intramedullary implants for fractures’ fixation. The nature of the bone with strong muscular action with high compressive forces acting medially are responsible for intraoperative and postoperative complications and difficulties. Varus malalignment is one of the commonest complication found in proximal femur fractures. This study was done to evaluate the incidence of varus malalignment in unstable extracapsular proximal femur fracture. METHODS: 60 patients with closed unstable fracture of proximal femur involving pertrochanteric and subtrochanteric region were subjected into 2 groups of fixation and retrospectively evaluated. 30 patients each for proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) group were operated. Incidence of varus malalignment immediately post operation, quality of fracture’s reduction immediately post operation and implant’s sustainability of fracture’s reduction at 6 months post operation were analyzed for both groups. RESULTS: Immediately after fracture’s fixation, incidence of varus malalignment was higher in PFLCP group (23.3%) compared to PFNA group (13.3%). However the quality of fracture’s reduction immediately post operation and implant’s sustainability of fracture’s reduction at 6 months between both implants were not statistically significant. CONCLUSIONS: PFLCP offered comparable result as PFNA for osteosysnthesis of unstable extracapsular proximal femur fracture in term of varus malalignment on immediate and 6 months post operation.
format Thesis
qualification_level Master's degree
author Lee, Mohammad Faizal Nikman
author_facet Lee, Mohammad Faizal Nikman
author_sort Lee, Mohammad Faizal Nikman
title Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study
title_short Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study
title_full Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study
title_fullStr Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study
title_full_unstemmed Comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (PFNA) and proximal femoral locking plate (PFLCP) : a retrospective study
title_sort comparison of varus malalignment in unstable extracapsular proximal femur fracture between proximal femoral nail antirotation (pfna) and proximal femoral locking plate (pflcp) : a retrospective study
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian Sains Perubatan
publishDate 2017
url http://eprints.usm.my/43075/1/Dr._Mohammad_Faizal_Nikman_Lee-24_pages.pdf
_version_ 1747821159145013248

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