Minimally invasive percutaneous compression plating versus dynamic hip screw for intertrochanteric fractures： a randomized control trial

作     者：Cheng Qiang Huang Wei Gong Xuan Wang Changdong Liang Xi Hu Ning 

作者机构：Department of Orthopaedic Surgery The First Affiliated Hospital Chongqing Medical University Chongqing 400016 China Outpatient Department Chongqing Zhongshan Hospital Chongqing 400000 China Department of Biochemistry and Molecular BiologyMolecular Medicine and Cancer Research CenterChongqing Medical University Chongqing 400018 China 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2014年第17卷第5期

页      面：249-255页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Hip fractures Osteoporotic fractures Surgical procedures, minimally invasive Fracture fixation, internal 

摘      要：Objective：Intertrochanteric femur fracture is a common injury in elderly *** dynamic hip screw （DHS） has served as the standard choice for fixation; however it has several *** of the percutaneous compression plate （PCCP） are still inconclusive in regards to its efficacy and *** comparing the two methods,we assessed their clinical therapeutic ***：Atotal of 121 elderly patients with intertrochanteric femur fractures （type AO/OTA 31.A 1-A2,Evans type 1） were divided randomly into two groups undergoing either a minimally invasive PCCP procedure or a conventional DHS ***：The mean operation duration was significantly shorter in the PCCP group （55.2 min versus 88.5 min,P0.01）.The blood loss was 156.5 ml±18.3 ml in the PCCP group and 513.2 ml±66.2 ml in the DHS group （P0.01）.Among the patients treated with PCCP,3.1％ needed blood transfusions,compared with 44.6％ of those that had DHS surgery （P0.01）.The PCCP group displayed less postoperative complications （P0.05）.The mean American Society of Anesthesiologists score and Harris hip score in the PCCP group were better than those in the DHS *** were no significant differences in the mean hospital stay,mortality rates,or fracture ***：Due to several advantages,PCCP has the potential to become the ideal choice for treating intertrochanteric fractures （type AO/OTA 31.A1-A2,Evans type 1）,particularly in the elderly.