The incidence of osteoporotic fractures has been steadily rising along with the aging of the population. Surgical management of these fractures can be a challenge to orthopedic surgeons. Diminished bone mass and frequent comminution make fixation difficult. Advancements in implant design and fixation techniques have served to address these challenges and when properly applied, can improve overall outcome. The purpose of this review is to describe fixation challenges of common osteoporotic fractures and provide options for successful treatment.
The incidence of osteoporotic fractures is steadily increasing.
Diminished bone mass and frequent comminution make fixation of osteoporotic fractures difficult.
Locked plating enhances fixation stability in osteoporotic bone.
Adequate fixation of unstable intertrochanteric fractures requires fixation with intramedullary device.