Percutaneous compression plate versus proximal femoral nail anti-rotation in treating elderly patients with intertrochanteric fractures: a prospective randomized study

• DOI: 10.1007/s00776-013-0468-0
• Publication Date: 2013-10-01T10:59:57Z
• Authors: Qingshan Guo; Yue Shen; Zhaowen Zong; Yufeng Zhao; Huayu Liu; Xiang Hua; Hui Chen
• Keywords: Dynamic hip screw

The treatment and management of hip fracture poses a great challenge for clinicians in osteology surgery. aim this study is to compare the clinical effectiveness percutaneous compression plate (PCCP) versus proximal femoral nail anti-rotation (PFNA) intertrochanteric fractures elderly patients.A prospective randomized was carried out from January 2008 October 2011 involving 90 patients with (90 hips) who underwent minimally invasive surgery using PCCP or PFNA. Evaluation variables, including operation time, intra- perioperative blood loss, duration hospital stay, incidence postoperative complications, final outcomes by end follow-up, were used benefits these two implants.Among subjects, 45 received PCCPs PFNAs. baseline characteristics groups comparable. median follow-up time 16.9 months (12-24 months). In group, mean operative 53 min (40-75 min), losses 100.7 ml (60-150 ml) 916 (433-1339 ml), respectively, which significantly lower than those PFNA group. Nevertheless, there no statistical difference complications pain complaints, range motion hip, function at 12 months, recovery walking ability pre-injury status between implants.Overall, appear have similar effects treating fractures, although provided shorter times less loss Both implants discussed demonstrated be ideal patients.