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Problematicosteosynthesis in
osteoporosisMoh awad,M.D
Al-Helal hospital
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Is it challenging..?
* The major technical problem that surgeonsface, is the
difficulty to obtain a stablefixation of
an implant due to osteoporotic bone.
* The load transmitted at the bone-implantinterface can often
exceed the reduced
strain tolerance of osteoporotic bone. J Bone Joint Surg.
2006
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Is it challenging..?
Osteoporosis makes internal fixation
problematic and frequently contributes to
failed fixation and poor clinical results .J Shoulder Elbow
Surg. 2003
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When,,,,,,,,,,,,,,,?
All of us are confronted by the same
problem but the date of meeting makes a
very big difference..!!!!!!!!!!!!
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History..
Angry wound
Serous discharge for a week postoperative
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Associated problems.!
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So it is real
Osteoporosis makes internal fixation
problematic and frequently contributes to
failed fixation and poor clinical result .
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Case 2
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Yes it is still challenging
In spite of approved methods ofosteosynthesis ofproximal
femoralfractures, using modern implants
stabilization still may fail especially inunstable osteoporotic
fracture which is acause of revision surgeries andunsatisfactory
results.
J Bone Joint Surg Br 2010 vol. 92
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Interrupt the circle
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Teamwork
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.. Prevention (survey highrisk)
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Healing in osteoporosis
Fracture healing inosteoporotic fractures: is
it really different? Abasic science
perspective.Giannoudis P, Tzioupis C,
Almalki T Buckle RECOOG2012
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.. Healing in osteoporosis.(researches)
The
biologicalECOOG2012
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Improving tech. inosteosynthesis
Adapted anchoring implants,
Improved load distribution,
Augmentation techniques.
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ThanksFor Your Attention
