Evidence map›Paper›PMID 39087039›Full record

ArticleIndian journal of orthopaedics2024

Extra Medullary Fixation in Unstable Proximal Femoral Fractures by PF-LCP.

Krishna Kumar Mittal, Apoorva Agarwal, Nishant Raj, Nitin Kaushik

Abstract read
In one paragraph

Article in Indian journal of orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Krishna Kumar MittalKrishna Hospital & Trauma Centre, J 85 Patel Nagar I, Ghaziabad, Uttar Pradesh 201001 India.ORCID 0000-0002-0049-9425
Apoorva AgarwalKrishna Hospital & Trauma Centre, J 85 Patel Nagar I, Ghaziabad, Uttar Pradesh 201001 India.
Nishant RajKrishna Hospital & Trauma Centre, J 85 Patel Nagar I, Ghaziabad, Uttar Pradesh 201001 India.
Nitin KaushikKrishna Hospital & Trauma Centre, J 85 Patel Nagar I, Ghaziabad, Uttar Pradesh 201001 India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Perception that extra-medullary fixation of these fractures are fraught with difficulties and deficiencies is becoming inappropriate. This device provides angular stable fixation retaining fracture biology with minimum interference to osseous and soft-tissue vascularity and it does not require reaming which destroys 80% of endosteal vasculature for 6-12 weeks. PFLCP averts iatrogenic fracture in lateral trochanteric wall (LTW) which is frequent with DHS, protects LTW from secondary fracture in post-operative period. Aim is to assess outcome of unstable proximal femur fracture fixation by PFLCP. Methods: Study included 64 from 2016 to 2020, divided in two groups. (A) Unstable intertrochanteric fracture and (B) subtrochanteric fracture (Seinsheimer types II-V). All fractures fixed by MIPO with PFLCP. Loss of reduction, infection, cut-out, cut-through, backing of screws, bending or breaking of plate and screw, malunion, non-union and revision were evaluated. Fracture healing and functional recovery assessed by Reborne Score and Parker Mobility Score (PMS) respectively. Results: Out of 64, 24 achieved pre-injury PMS, 32 declined by 1 point, 6 declined by 2 points and 1 by 3 points, one required revision. Using various parameters 37.5% patients had excellent results and 50% had good results, 9.38% had average and 3.12% had poor result. None reported non-union or breakage of plate. Conclusions: PFLCP provides angular stable fixation, torsional stability with high biomechanical strength to resist deforming stresses. MIPO avoids soft-tissue stripping reducing blood-loss, retains periosteal blood supply to inter-fragmentary bone fragments, enhancing fracture healing, reducing complications, such as delayed healing, nonunion, infection and implant failure.

Indexed as

Extra-medullary fixation in proximal femur fracturesIntertrochanteric fracturePF-LCPSubtrochanteric fractures

Identifiers

PMID39087039
PMCPMC11286909

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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.