Altaf Hussain, Gulzar Saeed Ahmed, Faheem Ahmed Memon, Saifullah Maher, Abdul Rehman Shaikh.
Management of closed subtrochenteric fractures of femur: a comparative study between condylar blade plate and dynamic condylar screwn.
J Pak Orthop Assoc Jan ;23(1):24-9.

Objective: The aim of this study was to evaluate the results of internal fixation of subtrochanteric fractures of femur, and to compare the results of condylar bladeplate(CBP),and dynamic compression screw(DCS), in view of union rate, functional outcome and complications. Study Design: Comparative Study Place and Duration of Study: This comparative study was carried out in the department of orthopaedic surgey Liaquat University Hospital Hyderabad and Jamshoro and a privatepractice setup during the period of one year from mach 2006 and February 2007. Patients & Methods: In this study 60 patients with closed, subtrochanteric fractures of femur were selected and managed during the period of one year from March 2006 to February 2007 by using condylar blade plate and dynamic condylar screw. These patients were divided into two equal groups, A and B. Patients in group A were fixed with 95 degree CBP while group B was treated with DCS. All the fractures were treated by using a single lateral incision. Bone grafting was done in comminuted metaphyseal segment where indicated. Results: The patients were evaluated on the basis of post operative pain, range of motion at knee joint, limb length discrepancy, quadriceps wasting and radiological progression of union. Group A: Post operative pain was nil in 90% of patients and mild in 10% . Loss of 1-2 cm of limb length was seen in 10% of patients. One cm of quadriceps wasting was detected in 10%.. Range of motion at knee joint was 00 to 1350 in 70%,00 to 120 0and 00 to 1050 in 6.66 % of patients. There was one non union (3.33%) and two malunion (6.66%). There were three infections. Group B: Post operative pain was nil in 80% of patients and mild in 10% and moderate in 10%. Loss of 1-2 cm of limb length was seen in 10% of patients. One cm of quadriceps wasting was detected in 10% and 2 cm in 10% of patients. Range of motion at knee joint was 00 to 1350 in 80%,00 to 120 0 10%and 00 to 1050 in 10% % of patients. There was one nonunion (3.33%) and one malunion (3.33%). There were two infections.

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