Comparison of locking plate and cephalomedullary nailing in unstable proximal femur fractures

DOI: 10.4328/JCAM.5250 Received: 28.07.2017 Accepted: 15.08.2017 Published Online: 15.08.2017 Printed: 01.01.2018 J Clin Anal Med 2018;9(1): 18-22 Corresponding Author: Recep Öztürk, Polatlı Public Hospital, Ankara, Turkey. GSM: +905054634794 E-Mail: ozturk_recep@windowslive.com Abstract Aim: The aim of this study is to compare the treatment results of unstable pertrochanteric femur fractures with proximal femur locking plates (PFLP) and cephalomedullary nailing (CMN). Material and Method: Between 2012 – 2016, 36 patients (with mean age 60.1 +/19.9 std) (between 18-90) of which 25 were male (%69) and 11 were female (%31) were retrospectively analyzed. Patients were divided into two groups. There were 12 patients in the first group who undergone CMN, and there were 24 patients in the second group who undergone PFLP. Results: The proximal lateral cortex fracture occurred in one patient of CMN group, fusion was achieved in 11 patients (91%). In PFLP group, mechanic failure occurred in one patient, pseudoarthrosis occurred in one patient, and fusion was achieved in 22 patients (91,6%). There was no infection in CMN group, and in PFLP group infection was seen in 3 patients (12,5%) of which 2 were deep and 1 was a superficial infection. DVT occurred in 2 patient in CMN (16,6%) and 1 patient in PFLP group (4,1%). Discussion: CMN and PFLP treatment results in patients with unstable femur pertrochanteric fractures were both satisfactory; surgery time, peroperative blood transfusion need, postoperative hospitalization time, mechanical failure and reoperation rates were similar.