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Archives of Orthopaedic and Trauma Surgery

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01-10-2009 | Osteoporotic Fracture Management

Minimally invasive osteosynthesis in stable trochanteric fractures: a comparative study between Gotfried percutaneous compression plate and Gamma 3 intramedullary nail

Authors: José Ramón Varela-Egocheaga, R. Iglesias-Colao, M. A. Suárez-Suárez, M. Fernández-Villán, V. González-Sastre, A. Murcia-Mazón

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2009

Abstract

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.

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Title: Minimally invasive osteosynthesis in stable trochanteric fractures: a comparative study between Gotfried percutaneous compression plate and Gamma 3 intramedullary nail
Authors: José Ramón Varela-Egocheaga
R. Iglesias-Colao
M. A. Suárez-Suárez
M. Fernández-Villán
V. González-Sastre
A. Murcia-Mazón
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0955-0

At a glance: The STEP trials

Springer Medicine

Minimally invasive osteosynthesis in stable trochanteric fractures: a comparative study between Gotfried percutaneous compression plate and Gamma 3 intramedullary nail

Abstract

Aim

Method

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Aim

Method

Results

Conclusions

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