Fracturas laterales de cadera. Cien primeros casos tratados con el sistema de estabilización con placa de compresión percutánea. [First 100 cases with the PCCP system in lateral fractures of the hip].

Abstract

Introduction: The use of minimally invasive plate: PCCP is a valid technique for the treatment of lateral hip fractures and a proven alternative in the group of unstable fractures, reducing the chances of intra and postoperative complications ( less surgical time and minor bleeding ).Methods: 100 cases of lateral fractures between 2005 and March 2013 were treated consecutively. 77 % were unstable fractures of the group 31A2.3 31A2.2 of the AO classification, and the remaining 27% AO: 31A2.1 stable fractures . The mean age was 76.46 years.Results: In all patients an anatomic reduction was achieved in both the front and radiological profile. The average operative time was 29.94 minutes. The average using fluoroscopy was 62.5 seconds. Blood transfusions after surgery was 0.06 units. The average fracture collapse was 1.94 mm. considered that in all cases there was radiological healing at 12 weeks .Conclusions: The use of PCCP plate for treatment of unstable lateral fractures in our series showed excellent results, with a considerable reduction in operating time and less need for blood transfusions. The possibility of adequate stabilization in fractures with involvement of the lateral wall with minimal muscle and tissue damage, makes this method, probably, the new gold standard for this type of fracture .