title: Percutaneous compression plate versus dynamic hip screw for treatment of intertrochanteric Hip fractures: a meta-analyse of five randomized controlled trials.
abstract: BACKGROUND
  Percutaneous compression plating (PCCP) has been advocated to reduce blood loss, relieve pain, and lead to faster rehabilitation for the treatment of intertrochanteric fractures. The purpose of this meta-analysis was to estimate the outcomes and complications of the PCCP versus dynamic hip screw (DHS) fixation for intertrochanteric fractures.
  
  
  METHODS
  All randomized controlled trials (RCT) that compared PCCP with DHS in treating adult patients with intertrochanteric fractures were included. Main outcomes were collected and analysed using the RevMan 5.1 version.
  
  
  RESULTS
  Five trials met the inclusion criteria. Compared with DHS, PCCP had similar operation time (95% CI: -26.01~4.05, P = 0.15), length of hospitalization (95% CI: -1.79~1.25, P = 0.73), mortality (95% CI: 0.37~1.02, P = 0.06), incidence of implant-related complications (95% CI: 0.29~1.82, P = 0.49), and reoperation rate (95% CI: 0.41~3.05, P = 0.83). But blood loss (95% CI: -173.84~-4.81, P = 0.04) and transfusion need (95% CI: -0.53~-0.07, P = 0.01) significantly favored the PCCP.
  
  
  CONCLUSIONS
  The PCCP was associated with reduced blood loss and less transfusion need, but similar to DHS in other respects. Owing to the limitations of this systematic review, more high-quality RCTs are still needed to assess the clinical efficiency of PCCP.
authors.affiliation: National & Regional United Engineering Laboratory of Tissue Engineering, Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China ; Department of Orthopaedics, The 118th Hospital of PLA, No. 15 Jiafusi Xiang, Wenzhou, Zhejiang 325000, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Zhang
authors.affiliation: National & Regional United Engineering Laboratory of Tissue Engineering, Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Shen
authors.affiliation: National & Regional United Engineering Laboratory of Tissue Engineering, Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
authors.forename: Shengpeng
authors.initials: S
authors.lastname: Yu
authors.affiliation: National & Regional United Engineering Laboratory of Tissue Engineering, Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Huang
authors.affiliation: National & Regional United Engineering Laboratory of Tissue Engineering, Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
authors.forename: Zhao
authors.initials: Z
authors.lastname: Xie
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates / Q000706:statistics & numerical data*; D001863:Bone Screws / Q000706:statistics & numerical data*; D019245:Compressive Strength; D005260:Female; D005264:Femoral Fractures / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000401:mortality*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D016032:Randomized Controlled Trials as Topic; D012086:Reoperation / Q000401:mortality; D018570:Risk Assessment; D015996:Survival Rate; D016896:Treatment Outcome
references.citation: Am J Public Health. 1992 Aug;82(8):1147-50
references.pmid: 1636840
references.citation: J Orthop Trauma. 2013 Jun;27(6):312-7
references.pmid: 22955336
references.citation: Anesthesiology. 2003 Jan;98(1):156-63
references.pmid: 12502992
references.citation: BMJ. 1997 Nov 22;315(7119):1371-4
references.pmid: 9432250
references.citation: J Bone Joint Surg Am. 2002 Apr;84(4):670-4
references.pmid: 11940633
references.citation: J Orthop Trauma. 2005 Jan;19(1):29-35
references.pmid: 15668581
references.citation: Int Orthop. 2009 Feb;33(1):255-60
references.pmid: 17943284
references.citation: J Bone Joint Surg Am. 2011 May 18;93(10):942-7
references.pmid: 21593370
references.citation: Transfus Med Rev. 1988 Dec;2(4):196-203
references.pmid: 2980088
references.citation: J Bone Joint Surg Am. 2007 Mar;89(3):470-5
references.pmid: 17332094
references.citation: J Orthop Trauma. 2002 Oct;16(9):644-50
references.pmid: 12368645
references.citation: BMJ. 1997 Dec 6;315(7121):1533-7
references.pmid: 9432252
references.citation: J Trauma. 2002 Feb;52(2):293-8
references.pmid: 11834991
references.citation: Ann Intern Med. 2009 Aug 18;151(4):264-9, W64
references.pmid: 19622511
references.citation: Orthopedics. 2008 Jan;31(1):29-36
references.pmid: 18269165
references.citation: Acta Ortop Mex. 2008 Mar-Apr;22(2):115-9
references.pmid: 18669313
references.citation: J Orthop Trauma. 2011 Apr;25(4):191-5
references.pmid: 21399466
references.citation: J Bone Joint Surg Am. 2005 Dec;87(12):2823-2838
references.pmid: 16322635
references.citation: Instr Course Lect. 2004;53:441-54
references.pmid: 15116633
references.citation: J Bone Joint Surg Br. 2002 Jan;84(1):19-22
references.pmid: 11837826
references.citation: Strategies Trauma Limb Reconstr. 2008 Apr;3(1):9-14
references.pmid: 18427918
references.citation: Cochrane Database Syst Rev. 2007 Apr 18;(2):MR000012
references.pmid: 17443633
references.citation: Orthop Traumatol Surg Res. 2012 Nov;98(7):773-83
references.pmid: 23044466
references.citation: J Bone Joint Surg Br. 2007 Sep;89(9):1210-7
references.pmid: 17905960
references.citation: Injury. 2006 Aug;37(8):691-7
references.pmid: 16814787
references.citation: Injury. 2005 Nov;36(11):1343-9
references.pmid: 16214477
references.citation: J Trauma Acute Care Surg. 2012 May;72(5):1435-43
references.pmid: 22673279
references.citation: Ann Intern Med. 1997 Jul 1;127(1):37-42
references.pmid: 9214251
references.citation: Clin Orthop Relat Res. 1984 Jun;(186):45-56
references.pmid: 6723159
references.citation: Transfus Med Rev. 1994 Jul;8(3):169-83
references.pmid: 8081079
references.citation: Clin Biomech (Bristol, Avon). 2007 Dec;22(10):1112-8
references.pmid: 17900766
references.citation: Orthopedics. 2002 Jun;25(6):647-52
references.pmid: 12083574
references.citation: Qual Saf Health Care. 2002 Sep;11(3):239-45
references.pmid: 12486988
references.citation: BMJ. 2003 Oct 4;327(7418):771-5
references.pmid: 14525871
references.citation: Lancet. 1999 Mar 6;353(9155):802-5
references.pmid: 10459962
references.citation: Age Ageing. 2010 Mar;39(2):203-9
references.pmid: 20075035
references.citation: Orthop Traumatol Surg Res. 2010 Feb;96(1):21-7
references.pmid: 20170854
references.citation: Clin Biomech (Bristol, Avon). 2008 Oct;23(8):1012-7
references.pmid: 18579266
references.citation: Arch Intern Med. 2002 Oct 14;162(18):2053-7
references.pmid: 12374513
references.citation: Osteoporos Int. 2005 Mar;16 Suppl 2:S93-S102
references.pmid: 15502962
references.citation: Acta Orthop Belg. 2008 Feb;74(1):38-48
references.pmid: 18411600
references.citation: N Engl J Med. 2007 Nov 1;357(18):1799-809
references.pmid: 17878149
references.citation: Ann Intern Med. 1997 Mar 1;126(5):376-80
references.pmid: 9054282
references.citation: J Bone Joint Surg Am. 2001 May;83(5):643-50
references.pmid: 11379732
references.citation: Injury. 2002 Jun;33(5):413-8
references.pmid: 12095721
references.citation: N Engl J Med. 1992 Aug 6;327(6):419-21
references.pmid: 1625717
references.citation: Clin Orthop Relat Res. 2004 Aug;(425):82-6
references.pmid: 15292791
references.citation: ScientificWorldJournal. 2005 Mar 19;5:221-9
references.pmid: 15798882
references.citation: Injury. 2006 Oct;37(10):979-83
references.pmid: 16934259
references.citation: Int Orthop. 2001;25(6):360-2
references.pmid: 11820441
references.citation: Surg Innov. 2011 Jun;18(2):99-105
references.pmid: 21712233