Key result
Percutaneous compression plating for intertrochanteric hip fractures resulted in significantly lower blood loss, transfusion need, and complications compared to standard gamma nail.
Why the study?
Does percutaneous compression plating reduce blood loss and complications compared to standard gamma nail in patients with intertrochanteric hip fractures?
Cohort (n=132)
Does percutaneous compression plating reduce blood loss and complications compared to standard gamma nail in patients with intertrochanteric hip fractures?
Percutaneous compression plating is a safe and cost-effective alternative to standard gamma nail for intertrochanteric hip fractures, offering reduced blood loss and fewer complications.
May support percutaneous plating to limit blood loss; leaves open confirmation in randomized trials for intertrochanteric fractures.
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.
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Giancola et al. (2008) conducted a cohort in Pertrochanteric hip fractures (n=132). Percutaneous compression plating (PCCP) vs. Standard gamma nail (GN) was evaluated on Surgery times, blood loss (Hb serum level and transfusions), complications, and costs. Percutaneous compression plating for intertrochanteric hip fractures resulted in significantly lower blood loss, transfusion need, and complications compared to standard gamma nail.