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Minimally invasive osteosynthesis in stable trochanteric fractures: a comparative study between Gotfried percutaneous
José Ramón Varela-Egocheaga1, R Iglesias-Colao, M A Suárez-Suárez
1Orthopedic Surgery and Trauma Department, Hospital de Cabueñes, Gijón, Spain. varelaegocheaga@yahoo.es
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.
