Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures.

Strategies in Trauma and Limb Reconstruction
Rinaldo GiancolaCornelio Crippa

Abstract

The objective of this study is to compare percutaneous compression plating (PCCP) device with standard gamma nail (GN). A sample was prospectively followed and compared to a historical cohort: 82 intertrochanteric hip fractures in 81 patients treated with PCCP in 2004 versus 51 hip fractures treated with GN in 2003 (AO type 31A1, 31 A2). The main outcome measures were: surgery times, blood loss (Hb serum level and transfusions), complication, costs, for a 1-year follow-up. The minimally invasive PCCP technique resulted in a lower blood loss and consequently lower transfusion need (statistically significant), fewer implant-related complications and comparable surgery times. Overall surgical costs were lower for a comparable outcome in terms of healing and surgical time.

References

Aug 6, 1992·The New England Journal of Medicine·R Y Dodd
Dec 1, 1988·Transfusion Medicine Reviews·H A Perkins
Jun 1, 1980·Acta Orthopaedica Scandinavica·J S Jensen
Jul 1, 1994·Transfusion Medicine Reviews·J V Linden, H S Kaplan
May 1, 1993·The Journal of Bone and Joint Surgery. British Volume·G H AndersonP J Gregg
Nov 18, 2000·Journal of Orthopaedic Trauma·Y Gotfried
Oct 9, 2002·Journal of Orthopaedic Trauma·Yechiel GotfriedAssa Rotem

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Citations

Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·E CrespoV Palacios
Jun 29, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·E CrespoR Crespo
Oct 7, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Dinnish BaskaranMarc George

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