Evidence map›Paper›PMID 29062210›Full record

ArticleJournal of clinical orthopaedics and trauma

Evaluation of outcome of proximal femur locking compression plate (PFLCP) in unstable proximal femur fractures.

Malkesh D Shah, Chirag S Kapoor, Rishit J Soni, Jagdish J Patwa, Paresh P Golwala

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05286905 (Biomechanical Testing, Finite Element Analysis and Pilot, Prospective, Randomized, Experimental Clinical Study of Osteosynthesis of Reverse Oblique Peritrochanteric Fractures With PFLP vs Cephalomedullary Nail.), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.3field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05286905 naunknown statusnot on this map

Biomechanical Testing, Finite Element Analysis and Pilot, Prospective, Randomized, Experimental Clinical Study of Osteosynthesis of Reverse Oblique Peritrochanteric Fractures With PFLP vs Cephalomedullary Nail.

TypeinterventionalSponsorUniversity General Hospital of PatrasRan2022 to 2026Enrolled30ConditionsPertrochanteric Fracture of Femur, ClosedArmsOsteosynthesis cephalomedullary nail, Osteosynthesis proximal femur locking plate
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  4. Reverse distal femoral locking compression plate (DF-LCP), does it fit and how to fit on Asian's proximal femurs? A cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Malkesh D ShahDepartment of Orthopaedics, Smt. Bhikhiben Kanjibhai Shah Medical Institute & Research Centre, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
Chirag S KapoorDepartment of Orthopaedics, Smt. Bhikhiben Kanjibhai Shah Medical Institute & Research Centre, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
Rishit J SoniDepartment of Orthopaedics, Smt. Bhikhiben Kanjibhai Shah Medical Institute & Research Centre, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
Jagdish J PatwaDepartment of Orthopaedics, Smt. Bhikhiben Kanjibhai Shah Medical Institute & Research Centre, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
Paresh P GolwalaDepartment of Orthopaedics, Smt. Bhikhiben Kanjibhai Shah Medical Institute & Research Centre, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPertrochanteric fractures are most frequent factures of the proximal femur, accounts for nearly 50% of all proximal femur fractures and are most devastating and also a major cause of disability in elderly. The aim and objective of this study was to evaluate the role of proximal femoral locking compression plate in unstable proximal femur fractures. MATERIAL AND

methodA total of 20 cases were included in our study (M:F - 16:4), who suffered proximal femur fracture due to various modalities and all of them were operated using proximal femoral locking compression plate. This proximal femoral fractures included unstable - intertrochanteric with subtrochanteric extension and subtrochanteric with intertrochanteric extensions as well as one case with intertrochanteric, subtrochanteric and neck of femur fracture. Patients were followed up regularly and minimum follow-up period was 12 months. Patients were given physiotherapy and partial weight bearing was started after 6 weeks postoperatively or after union was achieved. The outcome was evaluated as per Harris Hip Score and radiological union.

resultAmong 20 cases with average age of 55.3 ± 17.9 years, treated with PF-LCP, the average time of union 18.75 ± 3.67 weeks was achieved. We got 10 excellent, 3 good, 3 fair and 4 poor result with average Harris Hip Score of 80.2 ± 28.54 with 65% good to excellent result with average Post-operative Neck Shaft Angle of 124.150 ± 17.880 and with 45% rate of complication which included four cases of superficial infection and two cases of deep infection and late complications like four cases of non-union, deformity - three cases of coxa vara and 2 cases of coxa valga, with patients having more than one complication in them.

conclusionPF-LCP is not recommended as a definitive implant but can be used as an alternative for the treatment of unstable proximal femoral fractures when there is no option available for other routinely used implants. Despite of its complications, PF-LCP is used where all implants fail.

Indexed as

Anatomical locking platePertrochanteric femur fractureProximal femoral locking compression plate (PF-LCP)Unstable proximal femur fracture

Identifiers

PMID29062210
PMCPMC5647620
OpenAlexW2554747673

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.