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September 1, 1975Journal of Bone and Joint Surgery

The use of methylmethacrylate as an adjunct in the internal fixation of unstable comminuted intertrochanteric fractures in osteoporotic patients

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Why the study?

Does open reduction and internal fixation supplemented with methylmethacrylate improve fracture healing and allow early mobilization in osteoporotic patients with unstable intertrochanteric fractures?

Population

41 patients with severe osteoporosis and 42 unstable, four-part intertrochanteric fractures

Design

Case_series

Follow-up

9 to 37 months

Authors

KHKD Harrington

Discussion

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Implication

Methylmethacrylate augmentation was associated with high union allowing early mobilization; leaves open confirmation in randomized trials of osteoporotic intertrochanteric fractures.

Structured PICO

Does open reduction and internal fixation supplemented with methylmethacrylate improve fracture healing and allow early mobilization in osteoporotic patients with unstable intertrochanteric fractures?

P
Population
41 patients (71 to 104 years old) with severe osteoporosis and 42 unstable, four-part intertrochanteric fractures
I
Intervention
Open reduction and internal fixation (Jewett nail or compression screw-plate) supplemented with methylmethacrylate packed into the curetted medullary space
O
Outcome
Fracture healing and maintenance of position

Supplementing internal fixation with methylmethacrylate in osteoporotic patients with unstable intertrochanteric fractures results in high rates of healing and allows for early mobilization.

Cite This Study

KD Harrington (1975) studied this question.

synapsesocial.com/papers/6a83e6cb403dcf0d873c2610https://doi.org/10.2106/00004623-197557060-00002
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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 effect of adjunctive methylmethacrylate on failures of fixation and function in patients with intertrochanteric fractures and osteoporosis.1985 · 149 citations
  3. 3Treatment of Intertrochanteric Fractures with a Sliding Nail-plate1982 · 35 citations
  4. 4Analysis of six hundred and twenty-two intertrochanteric hip fractures2007 · 58 citations
  5. 5Closed retrograde intramedullary nailing of peritrochanteric fractures of the femur with a new nail.1980 · 34 citations