Functional Outcomes of Proximal Femur Fractures Managed with Proximal Femoral Locking Compression Plate: A Prospective Clinical Study

Background: Proximal femur fractures are prevalent in the elderly due to osteoporosis and falls, while younger individuals sustain these injuries primarily through high-energy trauma. Management aims at early mobilization and stable fixation. Proximal femoral locking compression plate (PF-LCP) offers angular stability and is especially useful in cases of comminution, osteoporosis, or lateral wall disruption. Objectives: To evaluate the functional and radiological outcomes of proximal femur fractures treated with PF-LCP and compare findings with contemporary literature. Methods: This prospective study was conducted on 25 adult patients with complex proximal femur fractures (Boyd and Griffin Type III/IV; Seinsheimer Type III-V) treated with PF-LCP from July 2013 to June 2015. Fractures were evaluated radiographically and functionally using Harris Hip Score (HHS) at 3, 6, and 12 months. Statistical analysis was performed using SPSS v26. Results: The cohort consisted of 16 females (64%) and 9 males (36%), with a mean age of 68.3 ± 6.7 years. Mechanism of injury was a trivial fall in 21 cases (84%) and road traffic accident in 4 (16%). Average surgery duration was 91.4 ± 12.3 minutes. Radiological union was achieved in 23 patients (92%) within a mean of 16.2 ± 2.1 weeks. Mean HHS at 3, 6, and 12 months were 62.4 ± 6.3, 78.1 ± 5.8, and 84.5 ± 6.0, respectively. Excellent outcome (HHS >90) was noted in 7 (28%) patients and good outcome (HHS 80-89) in 11 (44%). Complications included superficial infection (n=2), varus collapse (n=1), and implant irritation (n=1). Conclusion: PF-LCP provides a reliable and effective solution for managing complex proximal femoral fractures, especially in osteoporotic or Comminuted scenarios. It enables stable fixation, promotes early mobilization, and demonstrates favourable functional outcomes with minimal complications.