Role of Proximal Femoral Locked Plating for Peritrochanteric Fractures (Systematic Review & Meta-Analysis)

Abstract

PFLCP shows overall good clinical and radiological outcomes in treatment of patients with peritrochanteric fractures who are osteoprotic and/or have unstable complex comminuted fractures (Comminution of the lateral trochanteric wall, postero-medial communition, reverse oblique fractures and in revision surgeries) without significant complications. Randomized controlled trials (RCT) needed to compare such implant with other fixation devices. One of the major drawbacks of using proximal femur locking plate is that weight bearing is to be controlled and done only after radiological evidence of callus formation, also some complications was found to have relatively high incidence like Malunion (17.85%), Loosening (12.64%) and Varus collapse (15.7%).