The effect of implant choice on varus angulation and clinical results in the management of subtrochanteric fractures.

ABSTRACT

INTRODUCTION: The aim of this study was to evaluate the effects of implant choice on varus angulation in the management of subtrochanteric fractures. METHODS: Between 2011 and 2016, 58 patients were included in the study and femur locking plate (PF-LCP; Group 1 = 27) and proximal femoral nails (PFN; Group 2 = 31) were compared retrospectively. RESULTS: In group 1, femoral NSA was measured 131,37 ± 1,95 and last follow-up angle was 127,33 ± 2,40. (p = 0,025). The mean Harris hip score was 67.59 ± 17.74 and 63.29 ± 13.83 in Group 1 and Group 2, respectively (p = 0.406). CONCLUSIONS: Plate fixation is not as successful as proximal nails at preventing varus angulation.