Open AccessBiomechanics of Osteoporotic Fracture Care: Advances in Locking Plate and Intramedullary Nail Technology
Author(s) -
Arun Aneja,
Robert J Teasdall,
Matt L. Graves
Publication year - 2021
Publication title -
journal of orthopaedic trauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 121
eISSN - 1531-2291
pISSN - 0890-5339
DOI - 10.1097/bot.0000000000002228
Subject(s) - intramedullary rod , medicine , biomechanics , internal fixation , fixation (population genetics) , blood supply , rehabilitation , implant , osteoporosis , orthodontics , nail (fastener) , surgery , biomedical engineering , physical medicine and rehabilitation , physical therapy , structural engineering , population , anatomy , pathology , environmental health , engineering
Osteoporotic fractures are extremely common and will continue to increase. Methods of internal fixation must address challenges presented by architectural changes of weakened bone. The goals of surgery are to provide mechanically stable internal fixation with minimal biologic insult that provides rapid rehabilitation and early mobilization. Novel techniques and technology that reinforce preservation of periosteal blood supply and utilization of biomechanically stable constructs diminish failure rates. Advents in locking plate technology, intramedullary nail designs, bone augmentation, and multiple implant constructs maximize strength while mitigating axial, torsional, and bending failure modes to provide optimal patient outcomes.