Related Experiment Video
Updated: Mar 28, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Comparison of Outcomes of Intertrochanteric Fracture Fixation Using Percutaneous Compression Plate Between Stable and
Cristina Carvajal-Pedrosa1, Rafael C Gómez-Sánchez, Pedro Hernández-Cortés
1Orthopedic Surgery Department of "San Cecilio" University Hospital, Granada, Spain.
Objectives:
To evaluate the outcomes of treatment with a percutaneous compression plate (PCCP) in stable and unstable intertrochanteric hip fractures.
Design:
Clinical prospective nonrandomized cohort study.
Setting:
San Cecilio University Hospital, Granada (Spain). A tertiary-care hospital.
Patients:
Patients older than 65 years undergoing surgery for an intertrochanteric hip fracture (n = 657) were divided according to the OTA/AO classification, into stable (31-A1) (group A, n = 363) and unstable fractures (31-A2) (group B, n = 294).
Intervention:
Osteosynthesis with a PCCP (Orthofix Inc).
Main Outcome Measurements:
Blood loss, wound complications, postoperative pain, operative and fluoroscopy time, functional outcomes, device-related complications, consolidation time, and mortality.
Results:
Patients with unstable fractures were significantly worse with respect to postoperative pain, immediately (P = 0.020), at 6 weeks (P = 0.0001), and at 3 months (P = 0.009), and with respect to independent walking ability at 6 weeks. No other significant differences were observed.
Conclusions:
The outcomes of osteosynthesis with PCCP seem to be equally satisfactory in stable and unstable intertrochanteric fractures, with stable fractures having less pain and a greater ability to walk earlier.
Level Of Evidence:
Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
More Related Videos
15:11Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
Published on: January 5, 2015
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024