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[Compression hip screw fixation with bone cement in trochanteric fractures]
1Universitatea de Medicină si Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Disciplina Ortopedie-Traumatologie.
Summary
Compression hip screw fixation for trochanteric fractures can fail due to screw cutout in osteoporotic bone. Augmenting fixation with bone cement offers a promising solution to prevent mechanical complications.
Area of Science:
- Orthopedic surgery
- Biomaterials science
Background:
- Internal fixation with a compression hip screw (DHS) is common for trochanteric fractures.
- Osteoporotic bone increases the risk of fixation failure, particularly screw cutout, in 4-10% of unstable fractures.
Observation:
- A 78-year-old female with an unstable trochanteric fracture and severe osteoporosis was treated.
- The Bartucci technique, involving augmentation of fixation with acrylic bone cement, was employed.
Findings:
- The patient experienced a very good postoperative outcome.
- No mechanical complications, such as screw cutout, were observed after the procedure.
Implications:
- Augmenting DHS fixation with acrylic bone cement may be an effective strategy to prevent fixation failure in osteoporotic patients.
- This technique shows potential for improving outcomes in complex fracture cases.