Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)

INTRODUCTION: Incidence of unstable proximal femoral fracture is increasing in trend and the treatment is challenging. Operative treatment offers various selection of implant including plate and intramedullary nail. The purpose of this study is to compare radiological and functional outcome b...

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Main Authors: Mohd Rashid, Zaraihah, MN, Nurhafizah, Y, Shukri, Mohd Yusof, Nazri
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2019
Subjects:
Online Access:http://irep.iium.edu.my/74933/
http://irep.iium.edu.my/74933/
http://irep.iium.edu.my/74933/1/OPU11-fracture-pfna-pflcp.pdf
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spelling iium-749332020-01-09T12:35:09Z http://irep.iium.edu.my/74933/ Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP) Mohd Rashid, Zaraihah MN, Nurhafizah Y, Shukri Mohd Yusof, Nazri RD701 Orthopedics INTRODUCTION: Incidence of unstable proximal femoral fracture is increasing in trend and the treatment is challenging. Operative treatment offers various selection of implant including plate and intramedullary nail. The purpose of this study is to compare radiological and functional outcome between both implants: PFNA and PFLCP. METHODS: This is a single centre observational cohort study involving all patients with unstable proximal femur fracture, admitted from January 2012 till December 2017. Plain pelvic and hip radiographs at immediate, 6 month and 1 year post-operative. Neck shaft angle (NSA) and its difference on contralateral side measured. Radiological outcome evaluated prevalence of varus malalignment and quality of fracture reduction. Functional outcome is measured by using Lower Extremity Functional Scale (LEFS). RESULTS: Sample population is 91 patients. Radiological and functional outcome didn’t differ significantly (p>0.05) but PFLCP group had shown significant shorter union time (table 1,2). DISCUSSIONS: Association of radiological and functional outcome between both implants was statistically insignificant (p>0.05), which concurrent with the study by Singh AK, 2017, Li GX, 2012. CONCLUSION: Both implants were effective in treating unstable proximal femur fractures. REFERENCES: 1. Singh AK et al.Treatment of Unstable Trochanteric Femur Fracture:PFNA versus PFLCP. Am. Journal. 2017. Malaysian Orthopaedic Association 2019-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/74933/1/OPU11-fracture-pfna-pflcp.pdf Mohd Rashid, Zaraihah and MN, Nurhafizah and Y, Shukri and Mohd Yusof, Nazri (2019) Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP). Malaysian Orthopaedic Journal, 13 (Supplement A). ISSN 1985-2533 E-ISSN 2232-111X https://www.morthoj.org/supplements/moa-2019/index.php
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD701 Orthopedics
spellingShingle RD701 Orthopedics
Mohd Rashid, Zaraihah
MN, Nurhafizah
Y, Shukri
Mohd Yusof, Nazri
Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)
description INTRODUCTION: Incidence of unstable proximal femoral fracture is increasing in trend and the treatment is challenging. Operative treatment offers various selection of implant including plate and intramedullary nail. The purpose of this study is to compare radiological and functional outcome between both implants: PFNA and PFLCP. METHODS: This is a single centre observational cohort study involving all patients with unstable proximal femur fracture, admitted from January 2012 till December 2017. Plain pelvic and hip radiographs at immediate, 6 month and 1 year post-operative. Neck shaft angle (NSA) and its difference on contralateral side measured. Radiological outcome evaluated prevalence of varus malalignment and quality of fracture reduction. Functional outcome is measured by using Lower Extremity Functional Scale (LEFS). RESULTS: Sample population is 91 patients. Radiological and functional outcome didn’t differ significantly (p>0.05) but PFLCP group had shown significant shorter union time (table 1,2). DISCUSSIONS: Association of radiological and functional outcome between both implants was statistically insignificant (p>0.05), which concurrent with the study by Singh AK, 2017, Li GX, 2012. CONCLUSION: Both implants were effective in treating unstable proximal femur fractures. REFERENCES: 1. Singh AK et al.Treatment of Unstable Trochanteric Femur Fracture:PFNA versus PFLCP. Am. Journal. 2017.
format Article
author Mohd Rashid, Zaraihah
MN, Nurhafizah
Y, Shukri
Mohd Yusof, Nazri
author_facet Mohd Rashid, Zaraihah
MN, Nurhafizah
Y, Shukri
Mohd Yusof, Nazri
author_sort Mohd Rashid, Zaraihah
title Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)
title_short Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)
title_full Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)
title_fullStr Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)
title_full_unstemmed Radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (PFNA) and proximal femoral locking compression plate (PFLCP)
title_sort radiological and functional outcome post fixation in unstable proximal femur fracture: comparison between proximal femoral nail antirotation (pfna) and proximal femoral locking compression plate (pflcp)
publisher Malaysian Orthopaedic Association
publishDate 2019
url http://irep.iium.edu.my/74933/
http://irep.iium.edu.my/74933/
http://irep.iium.edu.my/74933/1/OPU11-fracture-pfna-pflcp.pdf
first_indexed 2023-09-18T21:46:02Z
last_indexed 2023-09-18T21:46:02Z
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