Locked Plating and Advanced Augmentation Techniques in Osteoporotic Fractures

被引:14
|
作者
Dekeyser, Graham J. [1 ]
Kellam, Patrick J. [1 ]
Haller, Justin M. [1 ]
机构
[1] Univ Utah, Orthopaed Ctr, Dept Orthopaed, 590 Wakara Way, Salt Lake City, UT 84108 USA
关键词
Osteoporosis; Locked plate; Fragility fracture; Elderly; Endosteal replacement; DISTAL FEMUR FRACTURES; PROXIMAL HUMERAL FRACTURES; TIBIAL PLATEAU FRACTURES; CALCIUM-PHOSPHATE CEMENT; INTERNAL-FIXATION; LOCKING PLATE; HIP FRACTURE; OPERATIVE TREATMENT; SCREW FIXATION; BONE-DENSITY;
D O I
10.1016/j.ocl.2018.12.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The incidence of osteoporotic fracture is increasing with the aging US population. Because osteoporosis leads to a decrease in bone mineral density with a decrease in both trabecular and cortical bones, osteoporotic fracture presents fixation challenges with standard plate and screw constructs. Locked plating has been developed to create a fixed-angle plate-screw construct that is more resistant to failure in osteoporotic bone. Endosteal replacement, additional plates, and cement augmentation have all been demonstrated to further supplement osteoporotic fracture fixation. Technologies on the horizon to treat osteoporotic fracture include SMV screws, hydroxyapatite-coated implants, and far cortical locking screws.
引用
收藏
页码:159 / +
页数:12
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