Is Long Proximal Femoral Nail Antirotation Superior to Proximal Femoral Locking Compression Plate in Reverse Oblique Intertrochanteric Fractures?

Abstract

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.

Keywords

• bone nails
• bone plate
• fixation devices
• fracture fixation
• hip fractures
• osteosynthesis.