Cement augmentation for trochanteric fracture in elderly: A systematic review

Area of Science:

• Orthopedic Surgery
• Biomaterials Science

Background:

• Osteoporotic hip fractures pose risks like screw cut-out.
• Cement augmentation improves internal fixation stability.

Purpose of the Study:

• Systematically review cement augmentation effects in osteoporotic hip fractures.
• Evaluate safety and effectiveness of augmentation techniques.

Main Methods:

• Systematic literature search (Jan 2010 - July 2020).
• Included 5 studies with 301 patients (mean age 84.6).
• Excluded specific study types (e.g., in vitro, case reports).

Main Results:

• Augmentation used polymethylmethacrylate (PMMA) or calcium phosphate (CP).
• 57.5% of patients regained or improved mobility.
• Acceptable functional scores (Parker Mobility, Harris Hip) and no major complications.

Conclusions:

• Cement augmentation is a safe and effective fixation method.
• Demonstrates positive outcomes for trochanteric fracture treatment.