Title : Functional outcomes and quality of life scores of angle blade plate in pertrochanteric femur fracture
Abstract:
Introduction: Pertrochanteric femur fracture can present as either stable or unstable patterns often involving comminution of lateral and posterior medial wall .both intra and extramedullary implant can be use for treatment, with angle blade plate been an extramedullary ,bone preserving option .angle blade plate offers angular stabilty and helps shields the lateral wall from stress.
Methods and Material: Case series involving thirty pateint of pertrochanteric femur fractures managed with angle blade plate were studied. of this , 28 had intertrochanteric and 2 subtrochanteric femur fractures .in three cases, angled blade plate was used for revision surgery following failed intertrochanteric femur fracture treatment . all 30 patients were discharge within 3-5 days post operatively, with mobilisation starting on day one . functional outcomes and quality of life scores were evaluated using modified harris hip score and sf 36 score follow up at 4 weeks, 3 months, and 6 months.
Results: The minimum follow- up period was of 6 months. radiological union was achieved in ninty percent pateint with a zero infection rate.functional outcomes and quality of life score was assessed at 4 weeks,3 months, and 6months using modified harris hip score and sf 36- score .by end of 3months all patient were mobilsed without any ambulatory support.however limitation was mortality of two pateints, other two experienced treatment failure and underwent revision surgery.
Conclusion: Angled blade plate is technically demanding procedure.been as an extramedullary implant, its functions as load sharing and tensioning device for the floating lateral wall . the primary goal of our study was to achieve early postoperative mobilisation enchancing the pateint’s ability to perform daily activites and return to their premorbid level of function.
