Locked Plating and Advanced Augmentation Techniques in Osteoporotic Fractures
Graham J DeKeyser1, Patrick J Kellam1, Justin M Haller1
1University of Utah, Department of Orthopaedics, Orthopaedic Center, 590 Wakara Way, Salt Lake City, UT 84108, USA.
The Orthopedic Clinics of North America
|March 10, 2019
Summary
Osteoporotic fractures pose fixation challenges due to decreased bone density. Locked plating and other techniques improve fixation stability in elderly patients with osteoporosis.
Area of Science:
- Orthopedic surgery
- Biomaterials science
- Geriatric medicine
Background:
- Osteoporotic fractures are increasing in the aging US population.
- Osteoporosis diminishes bone mineral density, affecting both trabecular and cortical bone.
- Standard plate and screw fixation methods face challenges in osteoporotic bone.
Purpose of the Study:
- To review current and emerging technologies for treating osteoporotic fractures.
- To highlight the challenges in fracture fixation due to decreased bone quality.
- To discuss advancements in surgical stabilization techniques for osteoporotic bone.
Main Methods:
- Review of existing literature on osteoporotic fracture fixation.
- Analysis of biomechanical principles underlying different fixation strategies.
- Identification of novel technologies for enhanced implant stability.
Main Results:
- Locked plating offers a fixed-angle construct resistant to failure in osteoporotic bone.
- Techniques such as endosteal replacement, additional plates, and cement augmentation enhance fixation.
- Emerging technologies include SMV screws, hydroxyapatite-coated implants, and far cortical locking screws.
Conclusions:
- Advancements in fixation techniques are crucial for managing osteoporotic fractures.
- Locked plating and augmentation strategies improve surgical outcomes.
- Future technologies promise further improvements in treating these challenging fractures.
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