Ununited diaphyseal fractures of the humerus: techniques for fixation of osteoporotic bone.
The elderly population is larger, healthier, and more active than ever. Osteoporosis-related fractures and their sequelae are becoming more commonplace. Successful management of these problems requires adequate internal fixation of osteoporotic bone. Fixation of osteoporotic bone has evolved from the use of cement or allograft-augmented screws to fixed-angle plates, and now to fixed-angle screws that thread into and engage solidly the hole in the plate, creating a fixed blade. Familiarity with these techniques may facilitate the care of elderly patients requiring operative fracture care.
Ring
David
D
Department of Orthopaedic Surgery; Harvard Medical School Hand and Upper Extremity Service; Department of Orthopaedic Surgery; Massachusetts General Hospital; Boston, Massachusetts, U.S.A.
Jupiter
Jesse
J