Open AccessOutcomes of osteoporotic trochanteric fractures treated with cement-augmented dynamic hip screw
Author(s) -
Rakesh Gupta,
Vineeta Gupta,
Navdeep Gupta
Publication year - 2012
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.104193
Subject(s) - medicine , dynamic hip screw , surgery , cadaveric spasm , fixation (population genetics) , bone cement , prospective cohort study , osteoporosis , femoral head , dentistry , femur , cement , population , history , environmental health , archaeology
Dynamic hip screw (DHS) has been the standard treatment for stable trochanteric fracture patterns, but complications of lag screw cut out from a superior aspect, due to inadequate bone anchorage, occur frequently in elderly osteoporotic patients. Polymethylmethacrylate (PMMA) has been used as an augmentation tool to facilitate fixation stability in cadaveric femora for biomechanical studies and in pathological fractures. However, there are very few reports on the utilization of PMMA cement to prevent these complications in fresh intertrochanteric fractures. A prospective study was conducted to evaluate the outcome and efficacy of PMMA augmented DHS in elderly osteoporotic patients with intertrochanteric fractures.