The Gotfried PerCutaneous Compression Plate versus the Dynamic Hip Screw in the Treatment of Pertrochanteric Hip Fractures: Minimal Invasive Treatment Reduces Operative Time and Postoperative Pain

Abstract

Minimal invasive treatment of pertrochanteric fractures with the PCCP reduces operation time and postoperative pain.

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

“…The characteristics of the patients' population studied are comparable with those of other studies presented in the literature [6][7][8][9]11] in terms of age and sex. The fractures, defined by the inclusion criteria, included both A1 and A2 types and there were no differences in distribution between the groups even when split according to age or sex.…”

“…There were 50% fewer transfusions in the PCCP group. The average drop in haemoglobin level was 1.8 g/dl; this is lower than described in Kosygan's [9] report (2.4 g/dl); however in terms of units transfused per person, the quantity of 0.9 is greater than that reported by Janzin (0.56) [8]. These results suggest that this minimally invasive method of fixation results in less blood loss and therefore fewer blood transfusions and correspondingly fewer attendant risks of transfusion reaction, infections and immunocompromise [14][15][16].…”

“…Mortality in the PCCP group at one year was 9% which is comparable to Gotfried (11.3%) [7] but lower than Janzing (21%) [8] or Peyser (16%) [11]. Mortality was even lower when compared with published data which referred to the use of other techniques (Dzupa 30% [17]; Chirodian 31% [18]; Larsson 18% [19]).…”

“…New devices are being developed for the osteosynthesis of these fractures and one of these is the PCCP (PerCutaneous Compression Plate; Orthofix SRL, Italy) [6][7][8][9][10][11]. This device is indicated for the treatment of pertrochanteric and basicervical fractures with intact lateral walls (AO types 31A1,31A2,B2.1) [12] and is inserted by a minimally invasive technique which minimizes soft tissue damage and blood loss, retains the fracture haematoma and avoids excessive periosteal stripping.…”

Sistema MINUS® - técnica minimamente invasiva para o tratamento das fraturas transtrocanterianas do fêmur

“…This treatment methodology has also been shown to be advantageous for intertrochanteric fractures of the femur, thereby reducing the bleeding and pain and providing earlier rehabilitation for these patients, who are mostly elderly (1)(2)(3)(4)(5)(6)(7) .…”