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Orthopedic Trauma Directions 2009; 7(3): 17-24
DOI: 10.1055/s-0028-1100855
Clinical topic
© Georg Thieme Verlag KG Stuttgart · New York

Pertrochanteric hip fractures

Percutaneous compression plating versus hip screw (update to November 2004)
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Publication History

Publication Date:
08 June 2009 (online)

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Summary

Studies suggest that outcomes comparing percutaneous compression plating (PCCP) and hip screw (HS) for treatment of pertrochanteric hip fractures are varied. Outcomes favoring PCCP include lower mean blood transfusion requirements and slightly lower postoperative pain. Both PCCP and HS are associated with low rates of implant failure, however, in the PCCP group implant failure and unplanned reoperations may be more common. Mortality rates were consistently but not statistically lower in the PCCP group than in the DHS group in all studies. Additional randomized controlled trials are recommended to verify these results.

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