title: Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures.
abstract: The objective of this study is to compare percutaneous compression plating (PCCP) device with standard gamma nail (GN). A sample was prospectively followed and compared to a historical cohort: 82 intertrochanteric hip fractures in 81 patients treated with PCCP in 2004 versus 51 hip fractures treated with GN in 2003 (AO type 31A1, 31 A2). The main outcome measures were: surgery times, blood loss (Hb serum level and transfusions), complication, costs, for a 1-year follow-up. The minimally invasive PCCP technique resulted in a lower blood loss and consequently lower transfusion need (statistically significant), fewer implant-related complications and comparable surgery times. Overall surgical costs were lower for a comparable outcome in terms of healing and surgical time.
authors.affiliation: Orthopaedic and Trauma Departement, Azienda Ospedaliera San Carlo Borromeo, Via Pio II, 3, 20153, Milan, Italy, Giancola.Rinaldo@sancarlo.mi.it.
authors.forename: Rinaldo
authors.initials: R
authors.lastname: Giancola
authors.forename: Guido
authors.initials: G
authors.lastname: Antonini
authors.forename: Giacomo
authors.initials: G
authors.lastname: Delle Rose
authors.forename: Cornelio
authors.initials: C
authors.lastname: Crippa