Abstract
PURPOSE: To clarify the efficacy of angulated blade plate fixation in the treatment of complex peritrochanteric fracture of femur.
MATERIALS AND METHODS: Thirty peritrochanteric fractures treated with angulated blade plate, with a follow-up period of more than twelve months, were included. There were twenty subtrochanteric fractures and ten intertrochanteric fractures in which compression hip screw could not be applied due to comminution of trochanteric area. Average age was fifty six years(range, 17 to 76). Average follow-up period was 22.4 months(range, 12 to 31).
RESULTS: Average time to bony union for those fractures that healed primarily was 5 months. Solid union occurred in all cases with two malunion. Infection, implant failure, femoral head protrusion was not occurred.
CONCLUSION: Angulated blade plate can be a useful alternative for the fixation of comminuted peritrochanteric fracture if appropriate fixatives are not available.