Information for Patients

Trochanteric proximal femur fractures are very common and the incidence is increasing with the aging of the population. The average age of the patient with trochanteric fracture is greater than for femoral neck fracture, as are the problems of osteoporosis. The classic treatment of trochanteric proximal femur fracture is internal fixation with a hip screw and side plate. High union rates have been reported with current techniques of treatment, which are generally perceived to be effective. Settling at the fracture site has been considered acceptable and the positive impact on fracture healing has been emphasized. Under closer scrutiny of functional results, recent reports have indicated that many patients do survive and their fractures heal, but they are not able to return to their pre-injury ambulatory status or function.

A variety of alternative techniques have been developed, including intramedullary fixation with the advantage of less operative dissection and potentially improved stability. Problems with malunion and settling have persisted. The Gotfried percutaneous compression plate (PCCP) is another technique design to address some of the problems seen with dynamic hip screw (DHS) for treating trochanteric proximal femur fractures.

This topic reviews the Gotfried percutaneous compression plate system and provides video of the approach, including setup and percutaneous compression plating.