A Meta-analysis about the failure of proximal femoral locking compression plates to fix intertrechanteric or subtrochanteric fractures
YU Lu-xin
GAO Shi-chang
SHI Li-han
ZHANG An-wei
LIU Hong-tao
Abstract：Objective To explore the fixation failure incidence and related factors about proximal femoral locking compression plate ( PFLCP ) to fix the intertroc-hanteric and subtrochanteric fractures. Methods "Proximal Femoral Locking Comp-ression Plate", "PFLCP"and "treatment" were regarded as the terms searched in the PubMed Medline, Ovid Medline, Cochrane Database, and Embase Database. The collected references were published in English from January 2005 to January 2015. The methodological quality of the included studies was critically appraised and the data were extracted. Ten references, including 364 cases, were analyzed by the software of State 12.0 and RevMan 5.2. Results The fixation failure incidence of PFLCP was 20.05% ( 3.64% - 73.68% ), among which the incidence of plate broke 2.2% ( 95% CI 0.4% - 4.0% ), incidence of screw breakage, loose, and cut 12.9% ( 95% CI 5.2% - 20.6% ), and the incidence of postoperative fracture and displacement 13.9% ( 95% CI 5.3% - 22.4% ). When the patient's age was older than 60 years or the posterior-medial cortical bone of the intertrochanteric area was not intact, the fixation failure rate of PFLCP was high, which was not relative to the site of fracture and the start time of postoperative partial weight-bearing walk. Conclusions A high failure incidence will be predicted when PFLCP is used to fix the intertrechanteric or subtrochanteric fractures of old patients or with posterior-medial cortex defect. The site of fracture, starting time of postoperative partial weight-bearing walk have no relations with the incidence.
Keywords：Femoral fracturesHip fractureFracture fixationinternalMeta-analysis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 605-610 )