Abstract

GOMEZ, Horacio A; GARRIDO, Aníbal; ARRONDO, José I  and  FALCINELLI, Sebastián. Fracturas laterales de cadera: Cien primeros casos tratados con el sistema de estabilización con placa de compresión percutánea. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.3, pp.206-212. ISSN 1852-7434.

Introduction: The use of percutaneous compression plate with a minimally invasive technique is a valid alternative 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: One hundred consecutive patients with lateral fractures were treated between 2005 and March 2013. 74% were unstable fractures (types 31A2.3 and 31A2.2) and 26% were stable fractures (type 31A2.1), according to AO classification. The mean age was 76.46 years. Results: An anatomic reduction was achieved in both the front and lateral radiographs in all patients. The average operative time was 29.94 minutes. The average fluoroscopy time was 62.5 seconds. Blood transfusions required after surgery: 0.06 units. The average fracture collapse was 1.94 mm. Radiological healing was obtained at 12 weeks in all patients. Conclusions: The use of percutaneous compression plate for the treatment of unstable lateral fractures achieved excellent results, considerably reducing surgical time and the 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 a probable new gold standard for this type of fracture.

Keywords : Percutaneous compression plate; Lateral; Hip; Fracture; Dynamic hip system.

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