Reverse distal femoral locking plate for subtrochanter femur fracture
Abstract
In these case series, we used titanium locking compression plate-distal femur (LCP-DF) plate (Synthes) 9–11 hole using less invasive stabilization system or open reduction technique. This case series aims to determine the functional scores on reverse distal femoral locking plate for subtrochanteric femur fracture. A 34-year-old male with closed subtrochanteric fracture of the right femur (Seinsheimer 2B) with Harris hip scores (HHS) of 17, 96, and 97 obtained consecutively in 0, 6, and 12 months, respectively. A 24-year-old male with closed comminuted subtrochanteric fracture of the right femur (Seinsheimer V) with HHS of 13, 93, and 97 at 0, 6, and 12 months respectively. A 39-year-old male with non-union, left subtrochanteric femur fracture (Seinsheimer 2C) yielded HHS of 38, 73, and 77 at 0, 6, and 12 months, respectively. A 35-year-old female with close subtrochanteric fracture of the right femur (Seinsheimer IIB) yielded HHS of 23, 40, and 73 at 0, 6, and 12 months, respectively. Mean initial HHS and scores at 6 and 12 months reached 22, 75, and 86, respectively.
Downloads
References
Baumgaertner MR, Oetgen ME. Intertrochanteric Hip Fractures. In: Browner BD. Skeletal Trauma: basic science, management, and reconstruction. Philadelphia: Sanders; 2003.
Hoffmann R, Han NP. Femur: Proximal. In: Ruedl TP, Murphy WM. AO Principles of Fracture Management. New York: Thieme; 2000. p. 441-5.
Beaty JH, Austin SM, Warner WC, Canale ST, Nichols L. Interlocking intramedullary nailing of femoral-shaft fractures in adolescents: preliminary results and complications. J Pediatr Orthop Relat Res. 1994;14(2):178-83. https://doi.org/10.1097/01241398-199403000-00009
Wolfgang GL, Bryant MH, O'Neill JP. Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. Clin Orthop. 1982;(163):148-58. https://doi.org/10.1097/00003086-198203000-00022
Bain GI, Zacest AC, Paterson DC, Middleton J, Pohl AP. Abduction strength following intramedullary nailing of the femur. J Orthop Trauma. 1997;11(2):93-7. https://doi.org/10.1097/00005131-199702000-00004
Dodenhoff RM, Dainton JN, Hutchins PM. Proximal thigh pain after femoral nailing: causes and treatment. J Bone Joint Surg Br. 1997;79(5):738-41. https://doi.org/10.1302/0301-620X.79B5.7345
Dora C, Leunig M, Beck M, Rothenfluh D, Ganz R. Entry point soft tissue damage in antegrade femoral nailing: a cadaver study. J Orthop Trauma. 2001;15(7):488-93. https://doi.org/10.1097/00005131-200109000-00005
Zhang CQ, Sun Y, Jin DX, Yao C, Chen SB, Zeng BF. Reverse LISS plating for intertrochanteric hip fractures in elderly patients. BMC Musculoskelet Disord. 2010;11:166. https://doi.org/10.1186/1471-2474-11-166
Haidukewych GJ, Ricci W. Locked plating in orthopaedic trauma: a clinical update. J Am Acad Orthop Surg. 2008;16(6):347-55. https://doi.org/10.5435/00124635-200806000-00007
Sidhom SA, Pinder R, Shaw DL. Reverse LISS plate stabilisation of a subtrochanteric fracture of the femur in a patient with osteopetrosis: is this the answer? Injury Extra. 2006;37:113-5. https://doi.org/10.1016/j.injury.2005.09.022
Ma CH, Tu YK, Yu SW, Yen CY, Yeh JH, Wu CH. Reverse LISS plates for unstable proximal femoral fractures. Injury. 2010;41(8):827-33. https://doi.org/10.1016/j.injury.2010.03.028
Acklin YP, Bereiter H, Sommer C. Reversed LISS-DF in selected cases of complex proximal femur fractures. Injury. 2010;41(4):427-9. https://doi.org/10.1016/j.injury.2009.05.033
Ehlinger M, Brinkert D, Besse J, Adam P, Arlettaz Y, Bonnomet F. Reversed anatomic distal femur locking plate for periprosthetic hip fracture fixation. Orthop Traumatol Surg Res. 2011;97(5):560-4. https://doi.org/10.1016/j.otsr.2010.12.007
Haq RU, Manhas V, Pankaj A, Srivastava A, Dhammi IK, Jain AK. Proximal femoral nails compared with reverse distal femoral locking plates in intertrochanteric fractures with a compromised lateral wall; a randomised controlled trial. Int Orthop. 2014;38(7):1443-9. https://doi.org/10.1007/s00264-014-2306-1
Copyright (c) 2018 Peter Giarso, Ismail H. Dilogo
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.