Comment on "Minimally invasive management of unstable proximal femoral extracapsular fractures using reverse LISS femoral locking plates".

摘要

We read with interest the article by Ozkaya et al (1) "Minimally invasive management of unstable proximal femoral extracapsular fractures using reverse LISS femoral locking plates" with interest and agree with the author's view that "Reverse LISS" could be an alternative method of fixation for AO/OTA 31-A2.2, 2.3, 3.1, 3.2 and for 3.3 intertrochan-teric fractures. Despite this, we feel that this technique should only be used for specific fracture patterns; where the intramedullary canal is too narrow to accept nail/ the canal is blocked/canal is misshaped because of previous surgery. These plates also have a definite role for salvage after failure of a sliding/ cephalomedullary hip screw (2). With increasing experience and with the availability of newer anatomically conforming fixation systems, complication rates after fixation of these fractures have significantly reduced.