Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures

被引：70

作者：

Giancola, Rinaldo ^{[1
]}

Antonini, Guido ^{[1
,2
]}

Delle Rose, Giacomo ^{[1
,3
]}

Crippa, Cornelio ^{[1
,4
]}

机构：

[1] Azienda Ospedaliera San Carlo Borromeo, Orthopaed & Trauma Dept, I-20153 Milan, Italy

[2] Via Forli 19, I-20036 Meda, MI, Italy

[3] Via Gramsci Antonio 18, I-20047 Brugherio, MI, Italy

[4] Via Leyva 11, I-20052 Monza, MI, Italy

来源：

STRATEGIES IN TRAUMA AND LIMB RECONSTRUCTION | 2008年 / 3卷 / 01期

关键词：

Hip fracture; Pertrochanteric fracture; Minimally invasive; Percutaneous; Fracture fixation; Percutaneous compression plate;

D O I：

10.1007/s11751-008-0032-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The objective of this study is to compare percutaneous compression plating (PCCP) device with standard gamma nail (GN). A sample was prospectively followed and compared to a historical cohort: 82 intertrochanteric hip fractures in 81 patients treated with PCCP in 2004 versus 51 hip fractures treated with GN in 2003 (AO type 31A1, 31 A2). The main outcome measures were: surgery times, blood loss (Hb serum level and transfusions), complication, costs, for a 1-year follow-up. The minimally invasive PCCP technique resulted in a lower blood loss and consequently lower transfusion need (statistically significant), fewer implant-related complications and comparable surgery times. Overall surgical costs were lower for a comparable outcome in terms of healing and surgical time.

引用

页码：9 / 14

页数：6

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