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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
[Dynamic hip screw vs. percutaneous compression plate for trochanteric fractures]
Juan Manuel Lira Romero1, Roberto Arenas Díaz, Yuri Montero Oropeza
1Hospital de Traumatología y Ortopedia Lomas Verdes IMSS, México. juan.lirar@imss.gob.mx
Objective:
To compare functional results, hemorrhage, wound infection, post-operative complications and implant stability in 31A1 and 31A2 fractures treated with percutaneous compression plate or dynamic hip screw.
Material And Methods:
We made a cuasi-experimental, longitudinal, prospective and comparative study in a period from December 2004 to February 2005.
Statistical Analysis:
System SPSS version 11.0, with t Student, Xi square and U Mann-Whitney, with alpha 0.05.
Results:
We included 26 patients with AO 31A1 and 31A2 fractures, 13 treated with percutaneous compression plate and 13 with dynamic hip screw. We did not found significant statistical difference in post-operative hospital stay; wound length, post-operative complications and consolidation time. There were no infection or other wound complications in either group. Time of surgery and hemorrhage were better in the percutaneous compression plate group (p < or = 0.05).
Conclusions:
Percutaneous compression plate offers similar functional results compared to the dynamic hip screw, with advantages in hemorrhage during surgery and after surgery, less surgery time, with less need of transfusions post-operatively.