Key result
PCCP reduces bone nonunion and avascular necrosis and speeds rehabilitation vs hollow compression screws.
Why the study?
The comparative effectiveness of percutaneous compression plate versus hollow compression screw in treating displaced femoral neck fractures was evaluated.
Does percutaneous compression plate improve outcomes compared to hollow compression screw in patients with displaced femoral neck fractures?
RCT
Does percutaneous compression plate improve outcomes compared to hollow compression screw in patients with displaced femoral neck fractures?
p-value: p=<0.05
Percutaneous compression plate improves rehabilitation and reduces complications like bone nonunion and avascular necrosis compared to hollow compression screws in displaced femoral neck fractures.
PCCP should be considered for displaced femoral neck fractures; extends RCT evidence supporting its use over hollow compression screws.
OBJECTIVE: To compare the effectiveness of percutaneous compression plate (PCCP) and hollow compression screw in the treatment of displaced femoral neck fractures. METHODS: >0.05). The operation time, intra-operative blood loss, fracture healing time, fracture reduction quality, time of rehabilitation and weightloading; complication, post-operative Harris score and post-operative VAS score were compared between 2 groups. RESULTS: <0.05). CONCLUSIONS: PCCP for treatment of displaced femoral neck fractures has better static stability and better sliding dynamic pressure effect than hollow compression screw, and it can provide earlier rehabilitation and weight-loading postoperatively and obviously decrease the incidence of bone nonunion and avascular necrosis of the femoral head, but avascular necrosis of the femoral head still occur in patients with poor reduction or comminuted fracture.
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Yin et al. (2016) conducted an RCT in Displaced femoral neck fractures. Percutaneous compression plate (PCCP) vs. Hollow compression screw was evaluated on Operation time, intra-operative blood loss, fracture healing time, fracture reduction quality, time of rehabilitation and weightloading, complications, post-operative Harris score, and post-operative VAS score (p=<0.05). Percutaneous compression plate (PCCP) decreased the incidence of bone nonunion and avascular necrosis and provided earlier rehabilitation compared to hollow compression screw (P<0.05).
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