title: Comparison of Outcomes of Intertrochanteric Fracture Fixation Using Percutaneous Compression Plate Between Stable and Unstable Fractures in the Elderly.
abstract: OBJECTIVE
  To evaluate the outcomes of treatment with a percutaneous compression plate (PCCP) in stable and unstable intertrochanteric hip fractures.
  
  
  METHODS
  Clinical prospective nonrandomized cohort study.
  
  
  METHODS
  San Cecilio University Hospital, Granada (Spain). A tertiary-care hospital.
  
  
  METHODS
  Patients older than 65 years undergoing surgery for an intertrochanteric hip fracture (n = 657) were divided according to the OTA/AO classification, into stable (31-A1) (group A, n = 363) and unstable fractures (31-A2) (group B, n = 294).
  
  
  METHODS
  Osteosynthesis with a PCCP (Orthofix Inc).
  
  
  METHODS
  Blood loss, wound complications, postoperative pain, operative and fluoroscopy time, functional outcomes, device-related complications, consolidation time, and mortality.
  
  
  RESULTS
  Patients with unstable fractures were significantly worse with respect to postoperative pain, immediately (P = 0.020), at 6 weeks (P = 0.0001), and at 3 months (P = 0.009), and with respect to independent walking ability at 6 weeks. No other significant differences were observed.
  
  
  CONCLUSIONS
  The outcomes of osteosynthesis with PCCP seem to be equally satisfactory in stable and unstable intertrochanteric fractures, with stable fractures having less pain and a greater ability to walk earlier.
  
  
  METHODS
  Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
authors.affiliation: Orthopedic Surgery Department of "San Cecilio" University Hospital, Granada, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Carvajal-Pedrosa
authors.forename: Rafael C
authors.initials: RC
authors.lastname: Gómez-Sánchez
authors.forename: Pedro
authors.initials: P
authors.lastname: Hernández-Cortés
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001860:Bone Plates; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D015577:Geriatric Assessment; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D015601:Injury Severity Score; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010147:Pain Measurement; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D011446:Prospective Studies; D020127:Recovery of Function; D018570:Risk Assessment; D013030:Spain; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D016138:Walking