Pertrochanteric hip fracture osteosynthesis with percutaneous compression plate

Carvajal Pedrosa, C.; Hernández Cortés, P.

doi:10.1016/S1988-8856(11)70275-9

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Abstract

Objective

To evaluate the results obtained in the treatment of intertrochanteric hip fractures with a percutaneous compression plate (PCCP).

Material and method

We analysed 611 patients, operated on using PCCP, with a mean age of 79 years (65 to 99 years). The minimum follow up was 10 months (10 to 24). Data associated with blood loss and the post-operative recovery of the patients were analysed.

Results

The mean duration of surgery was 32 minutes (15 to 75 min). The mean drop in the haemoglobin value was 1.9g/dl (0.3 to 8.4). A blood transfusion was required by 14.7% of patients, with a mean of 0.25 transfusion units (0 to 3). The mean hospital stay was 8 days. There were 12.6% medical complications and 5% radiological complications. The overall mortality in the first year was 3.8% (23 patients).

Conclusions

An early functional recovery of the patient associated with a low morbidity was achieved with PCCP, making it an alternative for the treatment of intertrochanteric hip fractures.

Keywords:

Intertrochanteric fracture

Percutaneous compression plate

Blood loss

Transfusions

Minimally invasive surgery

Resumen

Objetivo

Evaluar los resultados obtenidos en el tratamiento de fracturas intertrocantéreas de cadera con placa de compresión percutánea (PCCP).

Material y método

Analizamos 611 pacientes, intervenidos mediante PCCP, con una edad media de 79 años (65 a 99 años). El seguimiento mínimo fue de 10 meses (10 a 24). Se midieron datos relativos a la pérdida sanguínea, relacionándolos con la recuperación postoperatoria del paciente.

Resultados

La duración media de la cirugía fue de 32 min (15 a 75 min). La caída media en el valor de la Hb fue de 1,9g/dl (0,3 a 8,4). El 14,7% de los pacientes precisó una transfusión sanguínea, con una media de 0,25 unidades transfundidas (0 a 3). La estancia hospitalaria media fue de 8 días. Ocurrió un 12,6% de complicaciones médicas y un 5% de complicaciones radiológicas. La mortalidad total en el primer año fue del 3,8% (23 pacientes).

Conclusiones

Con la PCCP se consigue una recuperación funcional precoz del paciente asociada a una escasa morbilidad, siendo una alternativa para el tratamiento de las fracturas intertrocantéreas de cadera.

Palabras clave:

Cadera

Fractura intertrocantérea

Placa de compresión percutánea

Pérdida sanguínea

Transfusiones

Cirugía mínimamente invasiva

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