AI Article Synopsis

  • The study compared the effectiveness of the PCCP (Percutaneous Compression Plate) and Gamma 3 nail in treating stable trochanteric hip fractures in patients aged 60 and over.
  • The trial was prospective and randomized, involving 80 patients, and measured various parameters like surgery time, blood loss, and hospital stay after the procedure.
  • Results indicated no significant differences between the two devices in any outcomes, confirming that PCCP is as minimally invasive as the Gamma 3 nail.

Article Abstract

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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Source
http://dx.doi.org/10.1007/s00402-009-0955-0DOI Listing

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