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Orthopedic Trauma Directions 2011; 9(5): 9-16
DOI: 10.1055/s-0030-1267126
Clinical topic
© Georg Thieme Verlag KG Stuttgart · New York

Pertrochanteric hip fractures

Percutaneous compression plating versus the hip screw (Update to 3/09 issue)
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Publication History

Publication Date:
14 December 2011 (online)

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Summary

Evidence from four randomized controlled trials suggests a 60% reduction in 1 year mortality for percutaneous compression plating (PCCP) compared with hip screw (HS) for treatment of pertrochanteric hip fractures. Other 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. Additional randomized controlled trials are recommended to verify these results.