Aim: Our objective was to compare the results of PCCP (Percutaneous Compression Plate) device and Gamma 3 nail for the treatment of stable trochanteric hip fractures and to demonstrate that PCCP device is a minimally invasive system.
Method: Prospective, randomized trial. Eighty patients aged 60 and over with stable trochanteric fracture were selected and then randomized using a table of randomized numbers. Length of time of operative procedure, hemoglobin levels at 6 and 48 h after surgery, packed cells units administered, and hospital stay were recorded. In addition, the postoperative complications in the first year after the surgery was collected.
Results: No differences were found in hospital stay, surgical time, blood loss, functional outcome at 1-year follow-up, neck-shaft angle, fracture collapse, and mortality.
Conclusions: PCCP and Gamma 3 have not presented significant differences in any measured parameter for treatment of stable trochanteric fractures. Therefore, the PCCP system is shown to be as minimally invasive as the Gamma 3.
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http://dx.doi.org/10.1007/s00402-009-0955-0 | DOI Listing |
World J Orthop
December 2024
Department for Science, Dubai College, Dubai 00000, Dubayy, United Arab Emirates.
Hip arthroplasty in patients with a history of paediatric hip disorders presents a significant challenge for orthopaedic surgeons. These patients are typically younger and have greater functional demands. Therefore, achieving optimal biomechanical conditions is crucial, involving placement of the acetabulum at the ideal centre of rotation and securing a stable femoral component with good offset to preserve abductor muscle function and restore leg length.
View Article and Find Full Text PDFPLoS One
November 2024
Department of Orthopedic and Trauma Surgery, Babol University of Medical Sciences, Babol, Iran.
J Orthop Case Rep
October 2024
Department of Orthopedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, India.
Cureus
August 2024
Orthopaedics, Dr D Y Patil Medical College Hospital and Research Center, Dr D Y Patil Vidyapeeth (Deemed to be University) Pimpri, Pune, IND.
Aim Evaluation and comparison of various methods of trochanteric fracture fixation. Methods This study was conducted prospectively at the Orthopaedics Department of Dr. D Y Patil Medical College and Research Centre.
View Article and Find Full Text PDFFront Surg
August 2024
Institute for Research on Musculoskeletal Disorders, Valencia Catholic University, Valencia, Spain.
Introduction: Cut-out, a biomechanical complication, is one of the most common causes of internal fixation failure of trochanteric hip fractures. The tip-apex distance (TAD) and the calcar-referenced tip-apex distance (CalTAD) have been suggested as the radiographic parameters that most predict the risk of cut-out. The purpose of this study was to check whether these two factors could predict implant cut-out in a series 398 of intertrochanteric hip fractures, treated by dynamic intramedullary nailing with the Trigen Intertan short nail.
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