Management of Seinsheimer type IIB and type IIIA subtrochanteric fracture with proximal femoral nail (PFN) versus proximal femoral locking compression plate (PF-LCP): Prospective comparative study

Introduction: Seinsheimer subtrochanteric fracture of femur are important to treat and associated with high rate of complications. Among all fractures of hip upto 34% present in subtrochanteric area. Objectives: Comparison of clinical outcome in Seinsheimer type IIB and type IIIA subtrochanteric fractures treated with proximal femoral nail (PFN) versus proximal femoral locking compression plate (PF-LCP). Materials and Methods: Patients presented with Seinsheimer subtrochanteric fracture at our hospital i.e, R L Jalappa Hospital, Tamaka, Kolar, Karnataka, India between May 2018 to June 2019 among which fourty patients were included as per the inclusion criteria. In which twenty patients were treated with Proximal Femoral Nail and twenty patients with Proximal Femoral Locking Compression Plate. By using Modified Harris Hip Score results were assessed at final follow up. Results: Group PFN shows at final follow up 45% excellent outcome, 45% good outcome and 10% fair outcome whereas group PF-LCP shows 60% good outcome, 20% fair outcome and 20% poor. Conclusion: For Seinsheimer subtrochanteric fractures proximal femoral nail shows better results compared to plating group with respect to functional outcome and clinical outcome. Keywords: Subtrochanteric fracture, Seinsheimer, PFN, PF-LCP.