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The utility of reverse distal femur locking compression plate in minimally invasive osteosynthesis for type C subtrochanteric fractures of the femur: technical description and a clinical series of 50 cases

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Background

Establishing fracture consolidation and avoiding postoperative complications of comminuted subtrochanteric fractures of the femur are technically challenging. The authors delineated a technical description of minimally invasive plate osteosynthesis (MIPO) by using a reverse distal femur locking compression plate (LCP-DF) and retrospectively reviewed the outcomes of these particular fractures.

Methods

Fifty patients with 51 type C subtrochanteric fractures of the femur were operated on by MIPO and reverse LCP-DF fixation. The collected data included postoperative complications, union times, and clinical outcomes.

Results

All fractures were united with a mean union time of 19.4 weeks (range 16–22). Regarding postoperative complications, asymptomatic valgus angulation occurred in five patients and trochanteric pain in six. According to Harris hip score, nine patients were determined to be excellent, 36 to be good and five to be fair.

Conclusion

MIPO by reverse LCP-DF is reliable and effective for type C subtrochanteric fractures of the femur particularly in situations where intramedullary nailing is not feasible.

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Funding

There was no source of funding for this research.

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Authors and Affiliations

  1. Department of Orthopedics, Buddhachinaraj Hospital, 90 Srithamtraipidok Road, Phitsanulok, 65000, Thailand

    Surasak Jitprapaikulsarn, Arthit Gromprasit, Kritsada Sukha & Chawanan Patamamongkonchai

  2. Department of Orthopedic Surgery and Physical Medicine, Prince of Songkla University, Songkla, Thailand

    Apipop Kritsaneephaiboon

Authors
  1. Surasak Jitprapaikulsarn
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  2. Arthit Gromprasit
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  3. Kritsada Sukha
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  4. Chawanan Patamamongkonchai
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  5. Apipop Kritsaneephaiboon
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Contributions

SJ were involved in drafting and revising the manuscript for content, including medical writing for content, study concept and design, analysis and interpretation of data, as well as acquisition of the data. AG, KS, CP and AK were involved in revising the manuscript for content and analysis and interpretation of data.

Corresponding author

Correspondence to Surasak Jitprapaikulsarn.

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Conflict of interest

S. Jitprapaikulsarn, A. Gromprasit, K Sukha, C Patamamongkonchai and A. Kritsaneephaiboon declare that they have no conflict of interest.

Ethical approval

This study has been approved by the ethical committees of Buddhachinaraj Hospital in accordance with the Declaration of Helsinki.

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Jitprapaikulsarn, S., Gromprasit, A., Sukha, K. et al. The utility of reverse distal femur locking compression plate in minimally invasive osteosynthesis for type C subtrochanteric fractures of the femur: technical description and a clinical series of 50 cases. Eur J Orthop Surg Traumatol 32, 1423–1433 (2022). https://doi.org/10.1007/s00590-021-03116-8

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  • DOI: https://doi.org/10.1007/s00590-021-03116-8

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