- Do very obese patients provide device limitations with a fixed distance between the Introducer and the Gotfried PC.C.P plate?
- Do small stature patients provide limitations to the double axis design of the telescoping neck screws?
- How do two 9.3 mm drill holes preserve the lateral wall when one 16 mm drill hole from a single axis design causes fracturing and lateral wall collapse?
- Can the Gotfried PC.C.P be used for subtrochanteric, reverse oblique trochanteric, cervical neck or subcapital neck fractures?
- Is there and, if so, how long is the learning curve for the Gotfried PC.C.P technique?
- How long does the surgery take?
- Do you use a drain postoperatively?
- What is the biggest advantage of this system over the many others?
- Where is the Gotfried PC.C.P available?
- Has the Gotfried PC.C.P been approved for all markets?
- How do I get trained in the Gotfried PC.C.P system?
- Do I need to use the PORD (Posterior Reduction) device for all of my intertrochanteric hip fracture procedures with this system?
- Can the PORD device be used with all tables?
Do very obese patients provide device limitations with a fixed distance between the Introducer and the Gotfried PC.C.P plate?
Although this is a common question, there have been very little reports of patients being too large for the existing Introducer design. If a patient is too large, convert to an open procedure and the other benefits of the system would continue to be advantageous. (in an open procedure).
Do small stature patients provide limitations to the double axis design of the telescoping neck screws?
Similar to the above response, this is a common question which has never presented a problem. Often, if someone feels the patient is too small for the two telescoping neck screws, the reduction is not in the recommended 135 degree Neck Shaft Angle (NSA). Increase or Decrease traction to bring the NSA to 135 degrees for a better biomechanical environment for sliding and optimal bone healing.
How do two 9.3 mm drill holes preserve the lateral wall when one 16 mm drill hole from a single axis design causes fracturing and lateral wall collapse?
Bone preservation anterior and posterior with the two smaller diameter drill holes will prevent fracturing of the greater trochanter and subsequent collapse. The one, larger diameter drill hole sacrifices necessary bone anterior and posterior which frequently contributes to fracture collapse and distal fragment medialization.
Can the Gotfried PC.C.P be used for subtrochanteric, reverse oblique trochanteric, cervical neck or subcapital neck fractures?
No, the Gotfried PC.C.P is only indicated for Stable and Unstable Pertrochanteric and Base of Neck hip fractures, AO fracture types 31.A1 and 31.A2.
Is there and, if so, how long is the learning curve for the Gotfried PC.C.P technique?
As with most percutaneous techniques, with dedicated instruments, there is in fact a learning curve. Most surgeons report four to five cases before instrument comfort begins. Sawbone applications and close frequency of these procedures both contribute to a decreased learning curve intraoperatively.
How long does the surgery take?
It depends. Once the learning curve has been worked through it may take around 30 minutes. Continued emphasis should be placed on appropriate reduction but significant time savings on dissection and wound closure have been reported.
Do you use a drain postoperatively?
A drain is recommended although many surgeons choose not to use one.
What is the biggest advantage of this system over the many others?
The Gotfried PC.C.P has reports of 17% patients regaining prefracture ambulatory status whereas a vast number of other clinical reports discuss 50-60% loss of a level of ambulatory status using other traditional systems. There are many features of the system that collectively contribute to a better outcome.
Where is the Gotfried PC.C.P available?
Throughout the world. Click on the Customer Service icon to your right to find a local representative.
Has the Gotfried PC.C.P been approved for all markets?
The Gotfried PC.C.P and PORD positioning device is CE marked and FDA approved. Most markets accept these as the basis for registration in their respective regions.
How do I get trained in the Gotfried PC.C.P system?
Please click on the Customer Service icon to the right to find a local representative.
Do I need to use the PORD (Posterior Reduction) device for all of my intertrochanteric hip fracture procedures with this system?
It is highly recommended. One of the principles of the PC.C.P is the closed fracture reduction. Frequently, even with a relatively stable fracture pattern, reduction is lost during the procedure (fixation). The PORD device reduces posterior fracture sagging in all femur fractures and maintains reduction throughout fracture fixation.
Can the PORD device be used with all tables?
The PORD device is compatible with most fracture tables with standard bed attachments used in most surgical departments.
