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Case Report | Medical Surgical | Volume 15 Issue 5, May 2026 | Pages: 541 - 544 | Thailand
Management of Subtrochanteric and Proximal Femoral Shaft Fractures with the Hybrid LRS Proximal Femur Construct: Case Series of Seven Patients
Abstract: This retrospective single-centre case series evaluated the clinical and radiological outcomes of a hybrid limb reconstruction system proximal femur construct used for complex subtrochanteric and proximal femoral shaft fractures in situations where conventional internal fixation was unsuitable, including open fractures and chronic infection. Seven patients treated between July 2019 and April 2025 were reviewed. Outcomes included fracture union, time to union, complications, reoperations, and ASAMI bone and functional scores. Five patients achieved union, with a mean union time of 18 months. Two patients developed persistent non-union. Four patients achieved good or excellent ASAMI outcomes, while three had fair or poor results. Reoperation was required in five patients. The hybrid construct may provide a salvage or alternative fixation option in selected complex proximal femoral cases where infection or soft tissue compromise limits internal fixation. Larger comparative studies are needed to define its role.
Keywords: subtrochanteric fracture, proximal femoral shaft fracture, external fixation, limb reconstruction system, hybrid LRS
How to Cite?: M Azfan CY, Irwan AA, Aridz MR, Arieff A, Norhaslinda B, "Management of Subtrochanteric and Proximal Femoral Shaft Fractures with the Hybrid LRS Proximal Femur Construct: Case Series of Seven Patients", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 541-544, https://www.ijsr.net/getabstract.php?paperid=SR26507164658, DOI: https://dx.dx.doi.org/10.21275/SR26507164658