Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures?
INTRODUCTION: The aim of the study was to compare the clinical and radiological results of long proximal femoral nail antirotation (LPFNA) with proximal femoral locking compression plate (PFLCP) in fixation of reverse oblique intertrochanteric fractures that are classified as 31A3. METHODS: Sixty-tw...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kare Publishing
2023-03-01
|
| Series: | Boğaziçi Tıp Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-38358 |
| _version_ | 1797652612864016384 |
|---|---|
| author | Mehmet Ali Talmaç Ali Şeker Ahmet Onur Akpolat Bekir Eray Kılınç |
| author_facet | Mehmet Ali Talmaç Ali Şeker Ahmet Onur Akpolat Bekir Eray Kılınç |
| author_sort | Mehmet Ali Talmaç |
| collection | DOAJ |
| description | INTRODUCTION: The aim of the study was to compare the clinical and radiological results of long proximal femoral nail antirotation (LPFNA) with proximal femoral locking compression plate (PFLCP) in fixation of reverse oblique intertrochanteric fractures that are classified as 31A3. METHODS: Sixty-two patients were included in the study. Fixations were performed with LPFNA in 35 patients (n group) and PFLCP in 27 patients (p group). We retrospectively reviewed all patients' pre-operative, perioperative, and post-operative data. All variables were compared between the groups. RESULTS: The mean age was 61.7 (range; 29–92) years. The mean estimated total blood loss, the mean operation and fluoroscopy times, the patient receiving the blood transfusion ratio, and the number of anatomical quality of reduction were statistically significantly higher in the p group than of the n group. The mean change of neck-shaft and femoral anteversion angles was statistically significantly higher in the N group than of the p group. DISCUSSION AND CONCLUSION: Although the LPFNA was superior in the perioperative data, the PFLCP was superior in providing and persistent of the reduction. In functional scores, both implants had similar and satisfactory outcomes. According to our results, PFLCP could be a good option for fixation of reverse oblique trochanteric fractures. |
| first_indexed | 2024-03-11T16:31:30Z |
| format | Article |
| id | doaj.art-ba381678cbd64c9e8f375c8ad894b412 |
| institution | Directory Open Access Journal |
| issn | 2149-0287 |
| language | English |
| last_indexed | 2024-03-11T16:31:30Z |
| publishDate | 2023-03-01 |
| publisher | Kare Publishing |
| record_format | Article |
| series | Boğaziçi Tıp Dergisi |
| spelling | doaj.art-ba381678cbd64c9e8f375c8ad894b4122023-10-24T02:36:46ZengKare PublishingBoğaziçi Tıp Dergisi2149-02872023-03-0110161210.14744/bmj.2022.38358BMJ-38358Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures?Mehmet Ali Talmaç0Ali Şeker1Ahmet Onur Akpolat2Bekir Eray Kılınç3Department of Orthopedics and Traumatology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, TürkiyeDepartment of Orthopedics and Traumatology, Istanbul University, Cerrahpaşa Medical Faculty, Istanbul,TürkiyeDepartment of Orthopedics and Traumatology, Health Sciences University, Istanbul Fatih Sultan Mehmet Training and Research Hospital, TürkiyeDepartment of Orthopedics and Traumatology, Health Sciences University, Istanbul Fatih Sultan Mehmet Training and Research Hospital, TürkiyeINTRODUCTION: The aim of the study was to compare the clinical and radiological results of long proximal femoral nail antirotation (LPFNA) with proximal femoral locking compression plate (PFLCP) in fixation of reverse oblique intertrochanteric fractures that are classified as 31A3. METHODS: Sixty-two patients were included in the study. Fixations were performed with LPFNA in 35 patients (n group) and PFLCP in 27 patients (p group). We retrospectively reviewed all patients' pre-operative, perioperative, and post-operative data. All variables were compared between the groups. RESULTS: The mean age was 61.7 (range; 29–92) years. The mean estimated total blood loss, the mean operation and fluoroscopy times, the patient receiving the blood transfusion ratio, and the number of anatomical quality of reduction were statistically significantly higher in the p group than of the n group. The mean change of neck-shaft and femoral anteversion angles was statistically significantly higher in the N group than of the p group. DISCUSSION AND CONCLUSION: Although the LPFNA was superior in the perioperative data, the PFLCP was superior in providing and persistent of the reduction. In functional scores, both implants had similar and satisfactory outcomes. According to our results, PFLCP could be a good option for fixation of reverse oblique trochanteric fractures.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-38358bone nailsbone platefixation devicesfracture fixationhip fracturesosteosynthesis. |
| spellingShingle | Mehmet Ali Talmaç Ali Şeker Ahmet Onur Akpolat Bekir Eray Kılınç Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures? Boğaziçi Tıp Dergisi bone nails bone plate fixation devices fracture fixation hip fractures osteosynthesis. |
| title | Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures? |
| title_full | Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures? |
| title_fullStr | Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures? |
| title_full_unstemmed | Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures? |
| title_short | Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures? |
| title_sort | is long proximal femoral nail antirotation superior to proximal femoral locking compression plate in reverse oblique intertrochanteric fractures |
| topic | bone nails bone plate fixation devices fracture fixation hip fractures osteosynthesis. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-38358 |
| work_keys_str_mv | AT mehmetalitalmac islongproximalfemoralnailantirotationsuperiortoproximalfemorallockingcompressionplateinreverseobliqueintertrochantericfractures AT aliseker islongproximalfemoralnailantirotationsuperiortoproximalfemorallockingcompressionplateinreverseobliqueintertrochantericfractures AT ahmetonurakpolat islongproximalfemoralnailantirotationsuperiortoproximalfemorallockingcompressionplateinreverseobliqueintertrochantericfractures AT bekireraykılınc islongproximalfemoralnailantirotationsuperiortoproximalfemorallockingcompressionplateinreverseobliqueintertrochantericfractures |