Femoral neck fractures after internal fixation of trochanteric fractures with implants in situ in adults: A systematic review

Barquet, Antonio; Giannoudis, Peter V.; Gelink, Andrés

doi:10.1016/j.injury.2018.11.007

Cited by 6 publications

(2 citation statements)

References 62 publications

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“…Fractures of the proximal femur constitute a huge health and economic burden for societies all over the world [7] with incidence rates of up to 400 fractures per 100,000 individuals per year [8] and considerably higher fracture risk in women [9]. Thirty percent of hip fractures are caused by low-energy trauma and another 69% are spontaneous fractures [10]. Individuals suffering fragility fractures experience a drastic increase in mortality and morbidity.…”

Section: Hip Fracturesmentioning

confidence: 99%

“…Women with trochanteric fractures are older, have more severe and generalized bone loss, and more frequently suffer from other osteoporotic fractures [18]. Fractures of the trochanter are most frequently multifragmentary pertrochanteric (A2), simple 2-fragment fractures (A1) in one third of the cases and rarely occur as reverse fractures (A3) [10]. Cervical fractures are frequently classified according to Pauwels considering the inclination of the fracture line or according to Garden considering their prognosis and potential complications [19][20][21].…”

Section: Hip Fracturesmentioning

confidence: 99%

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Biomechanics of Osteoporotic Fracture Fixation

Hollensteiner

Sandriesser

Bliven

et al. 2019

Curr Osteoporos Rep

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Purpose of Review Fractures of osteoporotic bone in elderly individuals need special attention. This manuscript reviews the current strategies to provide sufficient fracture fixation stability with a particular focus on fractures that frequently occur in elderly individuals with osteoporosis and require full load-bearing capacity, i.e., pelvis, hip, ankle, and peri-implant fractures. Recent Findings Elderly individuals benefit immensely from immediate mobilization after fracture and thus require stable fracture fixation that allows immediate post-operative weight-bearing. However, osteoporotic bone has decreased holding capacity for metallic implants and is thus associated with a considerable fracture fixation failure rate both short term and long term. Modern implant technologies with dedicated modifications provide sufficient mechanical stability to allow immediate weight-bearing for elderly individuals. Depending on fracture location and fracture severity, various options are available to reinforce or augment standard fracture fixation systems. Summary Correct application of the basic principles of fracture fixation and the use of modern implant technologies enables mechanically stable fracture fixation that allows early weight-bearing and results in timely fracture healing even in patients with osteoporosis.

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Section: Hip Fracturesmentioning

confidence: 99%