Augmentation of unstable pertrochanteric fractures in the osteoporotic elderly patient: operative technique for 1 or 2 head screw systems

Augmentation of unstable pertrochanteric fractures in the osteoporotic elderly patient: operative technique for 1 or 2 head screw systems

Authors

  • C. Dall'Oca Department of Orthopaedic and Traumatology, Integrated University Hospital of Verona, G.B. Rossi Polyclinic Verona
  • T. Maluta Department of Orthopaedic and Traumatology, Integrated University Hospital of Verona, G.B. Rossi Polyclinic Verona
  • F. Lavini Department of Orthopaedic and Traumatology, Integrated University Hospital of Verona, G.B. Rossi Polyclinic Verona
  • G. M. Micheloni Department of Orthopaedic and Traumatology, Integrated University Hospital of Verona, G.B. Rossi Polyclinic Verona
  • M. Bondi Department of Orthopaedic and Traumatology, Integrated University Hospital of Verona, G.B. Rossi Polyclinic Verona
  • B. Magnan Department of Orthopaedic and Traumatology, Integrated University Hospital of Verona, G.B. Rossi Polyclinic Verona

Keywords:

augmentation, the locker system, pertrochanteric fractures, osteoporosis, singh index, intramedullary nail, cut-out

Abstract

The incidence of proximal femoral fractures has substantially risen in the elderly. This rise has been attributed to an increase in their life span and the underlying poor bone stock and osteoporosis. One of the main reasons for revision surgery, reported to be as high as 19%, is the cut-out of the fixation device at the apex of the femoral head. Augmentation, facilitated by injecting cement (PMMA) around the apex of the proximal screw of the fixation device is considered a useful method with regards to the increased purchase between the bone and implant interface. The aim of this study is the description of the cement Augmentation operative technique for unstable osteoporotic pertrochanteric fractures with 1-2 femoral head screw devices.

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Published

24-09-2014

Issue

Vol. 85 No. 2 (2014): Supplement - SERTOT

Section

ORIGINAL ARTICLES

License

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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How to Cite

1.
Dall'Oca C, Maluta T, Lavini F, Micheloni GM, Bondi M, Magnan B. Augmentation of unstable pertrochanteric fractures in the osteoporotic elderly patient: operative technique for 1 or 2 head screw systems. Acta Biomed [Internet]. 2014 Sep. 24 [cited 2024 Oct. 7];85(2):59-65. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/3891