Abstract
OBJECTIVE OF THIS STUDY:
To analyze the result of A.O. condylar blade plate for the treatment of subtrochanteric fractures
and to asses the union of the fractures after the definitive surgical management.
MATERIAL & METHODS: A prospective study of 56 subtrochanteric femoral fractures treated by
95o
A.O condylar blade plate was conducted in Department of Orthopaedic Surgery, Liaquat
University of Medical & Health Sciences Jamshoro from March 2005 to February 2008. The follow-up period ranged from 6 – 36 months (average 12 months).
Fractures were included according to Siensheimer’s classification type IIA, B and C and III A &
B with their subtypes. Type I, IV and V were excluded from this study. The age of the 56 patients
ranged between 25 to 55 years average age 37.6 years. There were 39(69.64%) male and 17
(30.35%) female patients. Male to female ratio was 2.9: 1.
RESULTS: Total 56 patients were evaluated; excellent results were achieved in 27 (48.21%),
good in 17 (30.35%), and poor in 12 (21.42%). Out of 56 patients 34 (60.71%) were type II and
were distributed in subtypes as 18 (52.94%) IIA, 7 (20.58%) IIB, and 9 (26.47%) IIC. The 22
(39.28%) type III cases were distributed in subtypes as 14 (63.63%) IIIA and 8 (36.36%) IIIB. The
union time ranged between 3.5 to 12 months (average time 4.6 months). The rate of non-union in
this study was 12.5%. In this series 5 cases were complicated by malunion, 3 patients unacceptable varus angulation of more than 15 degree was noted, and in remaining 2 cases varus less
than 15 degree was noted. Malunion rate in this study was 8.92%.
CONCLUSION: We conclude that the choice varies from place to place, and depends on fracture
morphology, expertise available, and whether it is cost effective. We feel condylar plate will find
its use in selected cases and certain situation for many years to come.
Muhammad Ayoob Laghari, Asadullah Makhdoom, Muhammad Khan Pahore, Abass Memon. (2012) Subtrochanteric Femoral Fractures Treated by Condylar Plate, A study of 56 cases, Journal of Liaquat University of Medical and Health Sciences, Volume-11, Issue-2.
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