Current augmentation fixation techniques for the osteoporotic patient

Antonio Moroni, A. Hoang-Kim, V. Lio, S. Giannini

Research output: Contribution to journalArticle

Abstract

Osteoporosis is defined as the deterioration of microarchitecture and overall poor bone quality, which represents a risk of implant fixation failure when patients with osteoporosis are surgically treated. Fragility fractures in elderly patients, typically at the hip, spine and wrist, should be assessed by the orthopaedic surgeon prior to surgery in order to select the most appropriate technique necessary to overcome failures and other complications associated with reduced osteofixation. In this review, advanced methods of augmenting implant fixation in osteoporotic bone are described including polymethylmethacrylate (PMMA), bone grafts, calcium phosphate implants, calcium phosphate cements, calcium phosphate coatings, modified implants and pharmaceutical augmentation concepts. The indication for these techniques should be based on the quantitative assessment of the osteoporotic quality of bone evaluated by dual energy X-ray absorptiometry (DXA).

Original languageEnglish
Pages (from-to)103-109
Number of pages7
JournalScandinavian Journal of Surgery
Volume95
Issue number2
Publication statusPublished - 2006

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Keywords

  • Bisphosphonates
  • Bone grafts
  • Calcium phosphate
  • Fixation
  • Fragility fractures
  • Osteoporosis

ASJC Scopus subject areas

  • Surgery

Cite this

Moroni, A., Hoang-Kim, A., Lio, V., & Giannini, S. (2006). Current augmentation fixation techniques for the osteoporotic patient. Scandinavian Journal of Surgery, 95(2), 103-109.