Outcomes of basicervical femoral neck fracture treated with percutaneous compression plate (PCCP)

Gomez-Vallejo J. (Universidad de Zaragoza) ; Blanco-Rubio N. (Universidad de Zaragoza) ; Lorenzo-Lopez R. ; Embarba-Gascon M. ; Ezquerra-Herrando L. (Universidad de Zaragoza) ; Zamora-Lozano M. ; Albareda-Albareda J. (Universidad de Zaragoza)

Resumen: Introduction: Basicervical femoral neck fracture is associated with high rates of failure due instability patterns, mainly collapse and rotational instability. The purpose of this study was to evaluate the clinical-radiological results of a group of patients with a bascervical proximal femoral fractures treated with Percutaneous Compression Plate (PCCP). Material and methods: Among 5817 patients with a hip fracture who were admitted in our hospital from January 2005 to December 2017, 234 factures (4%) were diagnosed of basicervical femoral fracture. 30 of them were treated with a PCCP, 22 women and 8 men, mean age was 81.2 years (63-94). Demographic and perioperative variables were collected. The patients were followed up at 1, 3 and 6 months clinically and radiologically. Results: There were no intra-operative complications and no conversions to open surgery. There was no early implant failure. No surgical wound infection was diagnosed. Crude mortality was 13% the first year and 87% were able to walk at the 6 months. The last follow-up x-rays revealed 97% fracture healing and the collapse at fracture site occurred in 4 hips. No instances of cut-out were observed. In one case, a fatigue failure of the lag screws of a PCCP plate was observed at 3 months from osteosynthesis. Conclusion: PCCP is an appropriated implant for basicervical femoral neck fractures. © 2021

Idioma: Inglés

DOI: 10.1016/j.injury.2021.03.062

Año: 2021

Publicado en: Injury 52, 4 (2021), S42-S46
ISSN: 0020-1383

Factor impacto JCR: 2.687 (2021)

Categ. JCR: EMERGENCY MEDICINE rank: 14 / 32 = 0.438 (2021) - Q2 - T2
Categ. JCR: ORTHOPEDICS rank: 42 / 86 = 0.488 (2021) - Q2 - T2
Categ. JCR: SURGERY rank: 97 / 213 = 0.455 (2021) - Q2 - T2
Categ. JCR: CRITICAL CARE MEDICINE rank: 25 / 35 = 0.714 (2021) - Q3 - T3

Factor impacto CITESCORE: 3.7 - Medicine (Q2)

Factor impacto SCIMAGO: 0.748 - Surgery (Q1) - Emergency Medicine (Q1)

Tipo y forma: Article (Published version)

Área (Departamento): Área Traumatología y Ortopedia (Dpto. Cirugía)