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

  • Osteoporotic Fracture Management
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

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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Authors and Affiliations

  1. Orthopedic Surgery and Trauma Department, Hospital de Cabueñes, Gijón, Spain

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

  2. Ronda San Cristóbal 197, Ático derecha, CP 31180, Zizur Mayor, Navarra, Spain

    José Ramón Varela-Egocheaga

  3. C/San Paulino 13, CP 33204, Gijón, Asturias, Spain

    R. Iglesias-Colao

  4. C/Doctor Severo Ochoa 12 7°C, 33401, Avilés, Asturias, Spain

    M. A. Suárez-Suárez

  5. C/Cuenca n° 8, 2° A, Gijón, Asturias, Spain

    M. Fernández-Villán

  6. Avenida Principado 22 1°C, CP 33683, Las Vegas (Corvera), Asturias, Spain

    V. González-Sastre

  7. C/Madreselvas 4 Soto de Llanera, 33423, Pruvia, Asturias, Spain

    A. Murcia-Mazón

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  1. José Ramón Varela-Egocheaga
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  2. R. Iglesias-Colao
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  3. M. A. Suárez-Suárez
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  4. M. Fernández-Villán
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  5. V. González-Sastre
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  6. A. Murcia-Mazón
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Correspondence to José Ramón Varela-Egocheaga.

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Varela-Egocheaga, J.R., Iglesias-Colao, R., Suárez-Suárez, M.A. et al. Minimally invasive osteosynthesis in stable trochanteric fractures: a comparative study between Gotfried percutaneous compression plate and Gamma 3 intramedullary nail. Arch Orthop Trauma Surg 129, 1401–1407 (2009). https://doi.org/10.1007/s00402-009-0955-0

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  • DOI: https://doi.org/10.1007/s00402-009-0955-0

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