Shafa Orthopedic Journal

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Comparison of Proximal Femur Locking Compression Plate and Intramedullary Nailing in the Treatment of Sub-Trochanteric Fractures

Karim Pisoude 1 , Omid Elahifar 1 , Mohammad Bagher Sohrabi 2 and Javad Khajemozafari 1 , *
Authors Information
1 Bone and Joint Reconstruction Research Center, Shafa Orthopaedic Hospital, Iran University of Medical Sciences, Tehran, Iran
2 School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
Article information
  • Shafa Orthopedic Journal: 6 (2); e91166
  • Published Online: May 13, 2019
  • Article Type: Research Article
  • Received: March 2, 2019
  • Revised: April 29, 2019
  • Accepted: April 29, 2019
  • DOI: 10.5812/soj.91166

To Cite: Pisoude K , Elahifar O , Sohrabi M B, Khajemozafari J. Comparison of Proximal Femur Locking Compression Plate and Intramedullary Nailing in the Treatment of Sub-Trochanteric Fractures, Shafa Ortho J. Online ahead of Print ; 6(2):e91166. doi: 10.5812/soj.91166.

Copyright © 2019, Shafa Orthopedic Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Berger RJ, Sultan AA, Cole C, Sodhi N, Khlopas A, Mont MA. Sub-trochanteric hip fracture following core decompression for osteonecrosis in a patient with a pre-existing contralateral occult femoral neck fracture. Surg Technol Int. 2018;32:361-5. [PubMed: 29791709].
  • 2. Palm H, Teixidor J. Proximal femoral fractures: Can we improve further surgical treatment pathways? Injury. 2015;46 Suppl 5:S47-51. doi: 10.1016/j.injury.2015.08.013. [PubMed: 26387035].
  • 3. Behera P, Khurana A, Saibaba B, Aggarwal S. Dealing with sub-trochanteric fracture in a child with osteopetrosis : A case report. Acta Orthop Belg. 2016;82(4):907-12. [PubMed: 29182138].
  • 4. Tsang ST, Aitken SA, Golay SK, Silverwood RK, Biant LC. When does hip fracture surgery fail? Injury. 2014;45(7):1059-65. doi: 10.1016/j.injury.2014.03.019. [PubMed: 24794618].
  • 5. Riehl JT, Koval KJ, Langford JR, Munro MW, Kupiszewski SJ, Haidukewych GJ. Intramedullary nailing of subtrochanteric fractures--does malreduction matter? Bull Hosp Jt Dis (2013). 2014;72(2):159-63. [PubMed: 25150344].
  • 6. Sidaginamale RP, Fadero P, Apostolopoulos AP, Zolcze L. Dynamic condylar screw as a solution to operative dilemma in early sub-trochanteric fracture following cannulated screw fixation for slipped capital femoral epiphysis: A case report. J Long Term Eff Med Implants. 2012;22(1):17-20. [PubMed: 23016786].
  • 7. Rijal KP, Manandhar RR, Pandey BK. Sub-trochanteric fractures of the femur: Results of ORIF at KMCTH. Kathmandu Univ Med J (KUMJ). 2007;5(2):161-5. [PubMed: 18604012].
  • 8. Duchesne R, Thivierge A, Abi Nader N. [Sub-trochanteric fractures of the femur in adults treated with the Richard screw-plate]. Union Med Can. 1985;114(11):934-7. French. [PubMed: 4090098].
  • 9. Herrera A, Domingo J, Martinez A. Results of osteosynthesis with the ITST nail in fractures of the trochanteric region of the femur. Int Orthop. 2008;32(6):767-72. doi: 10.1007/s00264-007-0411-0. [PubMed: 17618438]. [PubMed Central: PMC2898960].
  • 10. Ruedi T, Quinn B. [Results in the treatment of sub-trochanteric fractures]. Z Unfallmed Berufskr. 1977;70(1):28-30. French. [PubMed: 860607].
  • 11. Nilsdotter A, Bremander A. Measures of hip function and symptoms: Harris hip score (HHS), hip disability and osteoarthritis outcome score (HOOS), Oxford hip score (OHS), lequesne index of severity for osteoarthritis of the hip (LISOH), and American Academy of Orthopedic Surgeons (AAOS) hip and knee questionnaire. Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S200-7. doi: 10.1002/acr.20549. [PubMed: 22588745].
  • 12. Soderman P, Malchau H. Is the Harris hip score system useful to study the outcome of total hip replacement? Clin Orthop Relat Res. 2001;(384):189-97. [PubMed: 11249165].
  • 13. Erturer E, Tekkesin M, Dirik Y, Aksoy B, Ozturk I. [Radiographic and functional results of osteosynthesis with locked intramedulary nailing of subtrochanteric fractures of the femur]. Acta Orthop Traumatol Turc. 2004;38(4):265-9. Turkish. [PubMed: 15618768].
  • 14. Lee PC, Hsieh PH, Yu SW, Shiao CW, Kao HK, Wu CC. Biologic plating versus intramedullary nailing for comminuted subtrochanteric fractures in young adults: A prospective, randomized study of 66 cases. J Trauma. 2007;63(6):1283-91. doi: 10.1097/TA.0b013e3180f62f00. [PubMed: 18212651].
  • 15. Saini P, Kumar R, Shekhawat V, Joshi N, Bansal M, Kumar S. Biological fixation of comminuted subtrochanteric fractures with proximal femur locking compression plate. Injury. 2013;44(2):226-31. doi: 10.1016/j.injury.2012.10.037. [PubMed: 23200761].
  • 16. Luo Q, Fang C, Shen WY, Lau TW, Leung F. A lesson from the failure of intramedullary fixation of atypical subtrochanteric fractures: A report of two cases. JBJS Case Connect. 2013;3(1). e22. doi: 10.2106/JBJS.CC.L.00212. [PubMed: 29252327].
  • 17. Haefeli M, Huber H, Dierauer S, Ramseier LE. Fixation of subtrochanteric extending/derotational femoral osteotomies with the locking compression plate in ambulatory neuro-orthopaedic patients. J Child Orthop. 2010;4(5):423-8. doi: 10.1007/s11832-010-0281-7. [PubMed: 21966306]. [PubMed Central: PMC2946536].
  • 18. Barquet A, Mayora G, Fregeiro J, Lopez L, Rienzi D, Francescoli L. The treatment of subtrochanteric nonunions with the long gamma nail: Twenty-six patients with a minimum 2-year follow-up. J Orthop Trauma. 2004;18(6):346-53. [PubMed: 15213499].
  • 19. Glassner PJ, Tejwani NC. Failure of proximal femoral locking compression plate: A case series. J Orthop Trauma. 2011;25(2):76-83. doi: 10.1097/BOT.0b013e3181e31ccc. [PubMed: 21245709].
  • 20. Fischer J, Chee Y, Waseem M, Barnes K. IMHS in peritrochanteric fractures. Hip Int. 2005;15(1):27-32. doi: 10.5301/HIP.2008.3888. [PubMed: 28224579].
  • 21. Hamilton RJ, Kelly IG. Evaluation of the long intra-medullary hip screw. Injury. 2004;35(12):1264-9. doi: 10.1016/j.injury.2003.12.011. [PubMed: 15561116].
  • 22. D'Angelo F, Molina M, Zatti G. Complex fractures of the femur: Treatment with a long gamma nail: Short- and medium-term experience. Chir Organi Mov. 2000;85(3):215-23. [PubMed: 11569084].
  • 23. Mackie IG, Leyshon RL. Sub-trochanteric fracture (after Garden-screw fixation of sub-capital fracture) treated with AO dynamic hip screw and plate. Injury. 1983;15(2):136-7. [PubMed: 6629489].
  • 24. Kakkar R, Kumar S, Singh AK. Cephalomedullary nailing for proximal femoral fractures. Int Orthop. 2005;29(1):21-4. doi: 10.1007/s00264-004-0624-4. [PubMed: 15647914]. [PubMed Central: PMC3456955].
  • 25. Cuny C, Scarlat M, Moreau P, Mainard D, Delagoutte JP. [The Staca nail-plate in the treatment of trochanteric fractures]. Rev Chir Orthop Reparatrice Appar Mot. 1996;82(5):410-6. French. [PubMed: 8991164].
  • 26. Lahoud JC, Asselineau A, Salengro S, Molina V, Bombart M. [Sub-trochanteric fractures. A comparative study between gamma nail and angular osteosynthesis with lateral cortical support]. Rev Chir Orthop Reparatrice Appar Mot. 1997;83(4):335-42. French. [PubMed: 9452807].
  • 27. Asselineau A. [Correction of the article: "Nailing with a long gamma nail in sub-trochanteric and trochanteric-diaphyseal femoral fractures in adults"]. Rev Chir Orthop Reparatrice Appar Mot. 2002;88(6):638. French. [PubMed: 12484409].

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