Principles of osteoporotic fracture treatment

Best Pract Res Clin Rheumatol. 2013 Dec;27(6):757-69. doi: 10.1016/j.berh.2014.02.005.

Abstract

The number of osteoporotic fractures is still increasing and the overall management of these multimorbid patients is demanding. Surgical management of these fractures is challenging due to often comminuted fractures and poor purchase of implants. New implants and some with add-on possibilities such as standardized cement augmentation have been developed to address these problems. With these technical innovations the overall patient outcome can be improved. This review describes general considerations in operative treatment of osteoporotic fractures and gives recommendations for a selection of frequent fracture types.

Keywords: Augmentation; Elderly; Fracture treatment; Hip fracture; Humerus fracture; Intramedullary nail; Locking plate; Osteoporotic fracture.

Publication types

  • Review

MeSH terms

  • Bone Nails
  • Fracture Fixation / methods*
  • Hip Fractures / surgery*
  • Humans
  • Humeral Fractures / surgery*
  • Osteoporotic Fractures / surgery*