Treatment of femoral intertrochanteric fractures with percutaneous compression plating: a case report

Abstract

Objective To report our first experience of applying the percutaneous compression plating (PCCP) for treatment of femoral intertrochanterie fractures. Methods On July 22, 2008, a 79-year-old female was treated by percutaneous compression plating for her pertrochanteric hip fracture. The patient was first placed supine on the traction table for closed fracture reduction. Under the guidance of C-arm radiography, stab incisions were made and the plate was put appropriately. Next 2 neck screws and 3 shaft screws were inserted in proper order. The patient was followed up every month after operation. Comparisons were made between the literature experiences available and ours. Results The reduction of in-tertrochanteric fracture was anatomic. The retention of PCCP was fine. The time for PCCP was 90 rain, and intraoperative hemorrhage was about 100 ml. Follow-up for 3 months showed that functions of the hip were excellent according to Harris scoring (91 points;extension to flexion: 0～150°). Conclusion PCCP is a safe and effective way for treating intertrochanteric fractures, for it leads to reliable fixation, less invasion, and .good recovery of hip function. Key words: Hip fractures; Percutaneous compression plating (PCCP); Surgical procedures, minimally invasive; Literature review