The percutaneous compression plate versus the dynamic hip screw : A meta-analysis

Published online: Feb 27 2008

Sukhmeet Singh Panesar, Saqeb Mirza, Gaurav Bharadwaj, Victor Woolf, Ratukondla Ravikumar, Thanos Athanasiou

From North Middlesex University Hospital, London, United Kingdom, Royal Glamorgan Hospital, Llantrisant, United Kingdom, and Imperial College London, London, United Kingdom


Intertrochanteric fractures are a significant orthopaedic burden. The aim of this study was to assess how the Percutaneous Compression Plate (PCCP) technique performs compared to the traditional dynamic hip screw (DHS). A meta-analysis of all head to head trials (1995-2006) comparing the two techniques was performed. Early mortality (# 1 year) was the major outcome of interest. Secondary outcomes of interest included operation time (minutes), blood transfusion requirements, post-operative infection and length of stay in hospital (days). There was a decreased trend in overall mortality in the PCCP group [CI 0.84, (0.48 to 1.47), Chi-square = 1.36, p = 0.51]. Similar trends favouring the PCCP technique were seen with the other outcomes. PCCP being a relatively new technique has the potential to become the gold standard in the repair of intertrochanteric hip fractures. However, owing to the limitations of this meta-analysis, a large randomised controlled trial is required.