Biomechanics of Osteoporotic Fracture Fixation.
Ankle Fractures
/ physiopathology
Arthroplasty, Replacement, Hip
Biomechanical Phenomena
Femoral Neck Fractures
/ physiopathology
Fracture Fixation
/ methods
Fracture Healing
Hemiarthroplasty
Hip Fractures
/ physiopathology
Hip Prosthesis
Humans
Osteoporotic Fractures
/ physiopathology
Pelvic Bones
/ injuries
Periprosthetic Fractures
/ physiopathology
Weight-Bearing
Biomechanics
Bone
Fracture
Fragility fracture
Osteoporosis
Osteosynthesis
Journal
Current osteoporosis reports
ISSN: 1544-2241
Titre abrégé: Curr Osteoporos Rep
Pays: United States
ID NLM: 101176492
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
pubmed:
23
11
2019
medline:
21
10
2020
entrez:
23
11
2019
Statut:
ppublish
Résumé
Fractures of osteoporotic bone in elderly individuals need special attention. This manuscript reviews the current strategies to provide sufficient fracture fixation stability with a particular focus on fractures that frequently occur in elderly individuals with osteoporosis and require full load-bearing capacity, i.e., pelvis, hip, ankle, and peri-implant fractures. Elderly individuals benefit immensely from immediate mobilization after fracture and thus require stable fracture fixation that allows immediate post-operative weight-bearing. However, osteoporotic bone has decreased holding capacity for metallic implants and is thus associated with a considerable fracture fixation failure rate both short term and long term. Modern implant technologies with dedicated modifications provide sufficient mechanical stability to allow immediate weight-bearing for elderly individuals. Depending on fracture location and fracture severity, various options are available to reinforce or augment standard fracture fixation systems. Correct application of the basic principles of fracture fixation and the use of modern implant technologies enables mechanically stable fracture fixation that allows early weight-bearing and results in timely fracture healing even in patients with osteoporosis.
Identifiants
pubmed: 31755030
doi: 10.1007/s11914-019-00535-9
pii: 10.1007/s11914-019-00535-9
pmc: PMC6944651
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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