Outcome Analysis of the Role of 95° Angled Blade Plate in the Management of Difficult Proximal Femur Fractures
Background: In the realm of traumatic injuries affecting the proximal femoral shaft, a 95° angled blade plate (ABP) has already garnered recognition as the go-to choice for addressing delayed union and nonunion cases associated with peritrochanteric/subtrochanteric fractures. The study's primar...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2025-07-01
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| Series: | Journal of Orthopedics and Joint Surgery |
| Subjects: | |
| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1213 |
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| Summary: | Background: In the realm of traumatic injuries affecting the proximal femoral shaft, a 95° angled blade plate (ABP) has already garnered recognition as the go-to choice for addressing delayed union and nonunion cases associated with peritrochanteric/subtrochanteric fractures. The study's primary objective is to emphasize the pivotal role of the ABP not only in cases of delayed union or nonunion of proximal femur fractures but also as a reliable solution for early implant failure, infections, fractures involving bone loss, and specific fracture types, including reverse oblique fractures and subtrochanteric fractures extending into the diaphysis.
Materials and methods: A total of 18 patients with complex proximal femur fractures were operated on from January 2016 to March 2020 in our tertiary care setup. The fractures were classified using AO/OTA classification, and any additional procedures, time from initial presentation to surgery, and postoperative outcomes were noted in each case. The patients were operated on using a 95° ABP and were periodically followed up with radiographs and clinical examinations for fracture union at 3, 6, 9, and 12 months.
Results: The study cohort consisted of 18 patients (11 males, 7 females) with a mean age of 47.3 years. In 9 patients (50%), the fracture healed in 6 months following surgery, whereas in 6 patients (28%), the fracture healed in 9 months, and in 2 patients (17%), it healed in 12 months. In 1 patient (5.5%), the fracture did not unite at 12 months, probably attributed to infection following surgery.
Conclusion: A 95° ABP works very well in revision and complex scenarios of proximal femur fractures. Our study findings widen the scope of the ABP as an implant by providing stable fixation and predictable union even in situations such as early implant failure, fractures with bone loss or complicated infections, and in reverse oblique type fractures with or without medial comminution. |
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| ISSN: | 2582-7863 |