Surgical treatment of osteoporotic fractures

The world’s older population continues to grow at an extraordinary rate. Thus orthopedic and traumatology surgeons are faced with an ascending rate of osteoporotic fractures. Mechanism of injury in osteoporotic fractures is presented as low energy trauma or as a spontaneous occurrence. Fixation of these fractures is considered as a challenge and there are several implant types used for this purpose – endoprosthetic implants, locking plates with screws and redesigned intramedullary nails for different types of fractures . External fixation also has a role in the treatment of osteoporotic fractures. Authors of this paper have a good experience with the use of Mitkovic type Selfdynamysable Internal Fixator, especially in the treatment of osteoporotic proximal, diaphyseal and distal femoral fractures and of periprosthetic femoral fractures after hip or knee arthroplasty .