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September 1, 1985Journal of Bone and Joint Surgery

The effect of adjunctive methylmethacrylate on failures of fixation and function in patients with intertrochanteric fractures and osteoporosis.

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Why the study?

Does adjunctive methylmethacrylate bone cement reduce failures of fixation and improve function in elderly patients with intertrochanteric fractures and osteoporosis?

Population

79 elderly, debilitated patients with 82 intertrochanteric fractures and associated advanced osteoporosis…

Comparison

Approximately anatomical reduction… vs Approximately anatomical reduction and…

Design

Cohort

Follow-up

Average 34 months for cemented group, 26 months for…

Authors

EBE J BartucciMGM H GonzalezHospital Británico de Buenos AiresDCDaniel R. CoopermanYale New Haven Hospital

Discussion

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Overview

May reduce fixation failure in unstable fractures but worsen function; leaves open need for RCTs before practice change.

Structured PICO

Does adjunctive methylmethacrylate bone cement reduce failures of fixation and improve function in elderly patients with intertrochanteric fractures and osteoporosis?

P
Population
79 elderly, debilitated patients with 82 intertrochanteric fractures (29 stable, 53 unstable) and associated advanced osteoporosis (Grade III or less by Singh et al.). 56 fractures available for follow-up.
I
Intervention
Approximately anatomical reduction, compression-screw fixation, and adjunctive methylmethacrylate bone cement in the head-neck fragment
C
Comparator
Approximately anatomical reduction and compression-screw fixation without cement
O
Outcome
Failures of fixation and functional rating using the Iowa hip score

Adjunctive methylmethacrylate cement reduces fixation failure in unstable intertrochanteric fractures with osteoporosis but is associated with worse functional outcomes.

Cite This Study

Bartucci et al. (1985) studied this question.

synapsesocial.com/papers/6a83e6cb403dcf0d873c260fhttps://doi.org/10.2106/00004623-198567070-00014
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Methylmethacrylate as an Adjunct in the Internal Fixation of Intertrochanteric Fractures of the Femur1978 · 43 citations
  2. 2The use of methylmethacrylate as an adjunct in the internal fixation of unstable comminuted intertrochanteric fractures in osteoporotic patients1975 · 122 citations
  3. 3COMPARISON OF CEMENT AUGMENTATION VS NON-AUGMENTED FRACTURE FIXATION OF INTERTROCHANTERIC FEMUR FRACTURE IN ELDERLY PATIENTS2025
  4. 4Comparison of Clinical and Radiological Outcomes Between Uncemented and Cement Augmented Screws in Short Segment Hybrid Fixation of Unstable Osteoporotic Vertebral Fractures2026
  5. 5Primary cemented hemiarthroplasty for unstable intertrochanteric fractures in elderly: an intermediate follow-up2014 · 1 citations