Related Experiment Video
Updated: Jul 5, 2026
09:07
An Anesthesia, Surgery, and Harvest Method for the Evaluation of Transpedicular Screws Using an In Vivo Porcine Lumbar Spine Model
Published on: May 31, 2017
The percutaneous compression plate versus the dynamic hip screw: a meta-analysis
Sukhmeet Singh Panesar1, Saqeb Mirza, Gaurav Bharadwaj
1North Middlesex University Hospital, London, United Kingdom. sukhmeet.panesar@imperial.ac.uk
Acta Orthopaedica Belgica
|April 17, 2008
Summary
The Percutaneous Compression Plate (PCCP) shows a trend toward reduced mortality and improved outcomes for intertrochanteric hip fractures compared to the dynamic hip screw (DHS). Further research is needed to confirm these findings.
Area of Science:
- Orthopaedic Surgery
- Trauma Management
Background:
- Intertrochanteric hip fractures represent a significant challenge in orthopaedics.
- Current treatment options include the dynamic hip screw (DHS) and newer techniques.
Purpose of the Study:
- To compare the efficacy and safety of the Percutaneous Compression Plate (PCCP) technique versus the traditional dynamic hip screw (DHS) for intertrochanteric fractures.
- To evaluate early mortality and secondary outcomes such as operation time, blood transfusion, infection, and hospital stay.
Main Methods:
- A meta-analysis was conducted on head-to-head trials published between 1995 and 2006.
- Key outcomes analyzed included early mortality (≤1 year), operation time, blood transfusion needs, post-operative infection rates, and length of hospital stay.
Main Results:
- A trend towards decreased overall mortality was observed in the PCCP group, although not statistically significant [CI 0.84, (0.48 to 1.47), p = 0.51].
- Similar trends favoring the PCCP technique were noted for secondary outcomes, including shorter operation times, reduced blood transfusions, fewer infections, and shorter hospital stays.
Conclusions:
- The Percutaneous Compression Plate (PCCP) technique demonstrates potential as a superior method for treating intertrochanteric hip fractures.
- Larger, randomized controlled trials are necessary to definitively establish the superiority of PCCP over DHS due to the limitations of the current meta-analysis.
