Abstract
Objective
This study sought to evaluate the long-term osteosynthesis results for AO/OTA 31.A1–A2 pertrochanteric fractures treated with the percutaneous compression plate (PCCP).
Materials and methods
This investigation was a retrospective observational descriptive study of 335 patients, with a minimum follow-up of 2 years and a maximum follow-up of 8 years (2004–2011).
Results
The average post-operative hospital stay was 6.2 days, and the average decrease in haemoglobin levels after the intervention was 2.7 mg/dL, with transfusion required for one-third of the patients. Complications related to the implant were observed in 4.2 % of patients; the most notable complication was cut-out (2.4 % of patients), and 3 cases involved pseudarthrosis with breakage of the implant (0.9 % of patients).
Conclusions
From the results obtained in this study and an analysis of previously published work, we believe that the PCCP may be the implant of choice for AO/OTA 31.A1–A2 fractures.
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References
Anglen JO, Weinstein JN (2008) Nail or plate fixation of intertrochanteric hip fractures: changing pattern of practice. J Bone Joint Surg Am 90:700–707
Halder SC (1992) The Gamma nail for peritrochanteric fractures. J Bone Joint Surg Br 74:340–344
Leung KS, So WS, Shen WY, Hui PW (1992) Gamma nails and dynamic hip screws for peritrochanteric fractures. A randomised prospective study in elderly patients. J Bone Joint Surg Br 74:345–351
Forte ML, Virnig BA, Eberly LE, Swiontkowski MF, Feldman R, Bhandari M, Kane RL (2010) Provider factors associated with intramedullary nail use for intertrochanteric hip fractures. J Bone Joint Surg Am 92:1105–1114
Parker MJ, Handoll HHG (2010) Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults (Review). Cochrane Database Syst Rev 9:CD000093
Gotfried Y (2000) Percutaneous compression plating of intertrochanteric hip fractures. J Orthop Trauma 14(7):490–495
Parker MJ, Handoll HH (2008) Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Database Syst Rev 3:CD000093
Schipper IB, Marti RK, van der Werken C (2004) Unstable trochanteric femoral fractures: extramedullary or intramedullary fixation. Review of literature. Injury 35:142–151
Gotfried Y, Cohen B, Rotemt A (2002) Biomechanical evaluation of the percutaneous compression plating system for hip fractures. J Orthop Trauma 16(9):644–650
Zhang L, Shen J, Yu S, Huang Q, **e Z (2014) Percutaneous compression plate versus dynamic hip screw for treatment of intertrochanteric hip fractures: a meta-analyse of five randomized controlled trials. Sci World J 10:512512. doi:10.1155/2014/512512
Kosygan KP, Mohan R, Newman RJ (2002) The Gotfried percutaneous compression plate compared with the conventional classic hip screw for the fixation of intertrochanteric fractures of the hip. J Bone Joint Surg 84-B:19–22
Panesar SS, Mirza S, Bharadwaj G, Woolf V, Ravikumar R, Athanasiou T (2008) The percutaneous compression plate versus the dynamic hip screw: a meta-analysis. Acta Orthop Belg 74(1):38–48
Zhang L, Shen J, Yu S, Huang Q, **e Z (2014) Percutaneous compression plate versus dynamic hip screw for treatment of intertrochanteric hip fractures: a meta-analyse of five randomized controlled trials. Sci World J 10:512512. doi:10.1155/2014/512512
Giancola R, Antonini G, Delle Rose G, Crippa C (2008) Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures. Strategies Trauma Limb Reconstr 3:9–14
Varela-Egocheaga JR, Iglesias-Colao R, Suárez-Suárez MA, Fernández-Villán M, González-Sastre V, Murcia-Mazón A (2009) Minimally invasive osteosynthesis in stable trochanteric fractures: a comparative study between Gotfried percutaneous compression plate and Gamma 3 intramedullary nail. Arch Orthop Trauma Surg 129:1401–1407
Peyser A, Weil YA, Brocke L, Sela Y, Mosheiff R, Mattan Y, Manor O, Liebergall M (2007) A prospective, randomised study comparing the percutaneous compression plate and the compression hip screw for the treatment of intertrochanteric fractures of the hip. J Bone Joint Br 88b:1210–1217
Guo Q, Shen Y, Zong Z, Zhao Y, Liu H, Hua X, Chen H (2013) Percutaneous compression plate versus proximal femoral nail anti-rotation in treating elderly patients with intertrochanteric fractures: a prospective randomized study. J Orthop Sci 18:977–986
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The current authors declare no conflict of interest in connection with the implant studied.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Crespo, E., Gómez, S., Palacios, V. et al. Long-term results after treatment of pertrochanteric femoral fractures with percutaneous compression plate (PCCP). Eur J Orthop Surg Traumatol 26, 613–617 (2016). https://doi.org/10.1007/s00590-016-1805-8
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DOI: https://doi.org/10.1007/s00590-016-1805-8