ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2018
Is calcium phosphate augmentation a viable option for osteoporotic hip fractures?
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Indications for cement augmentation in fixation of geriatric intertrochanteric femur fractures: a systematic review of evidence.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Cement augmentation for trochanteric femur fractures: A meta-analysis of randomized clinical trials and observational studies.PloS one · 2021Pooled it
- Rehabilitation protocols in unstable trochanteric fractures treated with cephalomedullary nails in elderly: current practices and outcome.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Pooled it
- [Is It Necessary to Use Cement Augmentation in Internal Fixation for Trochanteric Fractures in the Elderly? A Systematic Review and Meta-Analysis].Revista brasileira de ortopedia · 2026Article
- Is It Necessary to Use Cement Augmentation in Internal Fixation for Trochanteric Fractures in the Elderly? A Systematic Review and Meta-Analysis.Revista brasileira de ortopedia · 2026Article
- Safety of Cement-augmented Femoral Cephalomedullary Nails: A Meta-analysis and Systematic Review.Hip & pelvis · 2025Review
- Finite element analysis of the effect of residual lateral wall volume on postoperative stability in intertrochanteric fractures.Journal of orthopaedic surgery and research · 2024Article
- Effectiveness of Cement Augmentation on Early Postoperative Mobility in Patients Treated for Trochanteric Fractures with Cephalomedullary Nailing: A Prospective Cohort Study.Journal of personalized medicine · 2022Article
- [Augmentation in the treatment of proximal humeral and femoral fractures].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- Cement augmentation for trochanteric fracture in elderly: A systematic review.Journal of clinical orthopaedics and trauma · 2021Review
- Trochanteric fixation nail advanced with helical blade and cement augmentation: early experience with a retrospective cohort.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Strategies for Bone Regeneration: From Graft to Tissue Engineering.International journal of molecular sciences · 2021Review
- A combined fracture and mortality risk index useful for treatment stratification in hip fragility fractures.Joint diseases and related surgery · 2021Article
- Scaffolds and coatings for bone regeneration.Journal of materials science. Materials in medicine · 2020Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The use of calcium phosphate bone cement has been described to allow for retention of reduction. Therefore, we evaluated whether augmentation with resorbable calcium phosphate could improve fracture stability in osteoporotic hip fractures. The results showed that augmentation with calcium phosphate cement significantly improved the stability of intertrochanteric fractures.
introductionThe aim with this study was to measure whether augmentation with resorbable calcium phosphate cement could improve fracture stability in osteoporotic hip fractures.
methodsWe retrospectively reviewed 82 patients who underwent closed reduction and internal fixation with proximal femoral nail (PFN) for unstable intertrochanteric fractures between 2014 and 2017. In 42 of 82 patients, patients were treated with a PFN alone (group I). These patients were compared with 40 patients for whom the same device combined with calcium phosphate cement for augmentation was used (group II). Questionnaire surveys or telephone interviews were conducted and patients completed a self-report Harris hip score (HHS) and visual analog scale (VAS) scores. Radiographic outcomes including mean sliding distance of screw, femoral shortening, and varus collapse were compared. Postoperative complications were compared.
resultsClinical outcomes at 6 months after surgery were equivalent in both groups. Screw sliding, femoral shortening, and varus collapse were all significantly reduced in the cemented group at the last follow-up (p < 0.001, p = 0.005, p < 0.001, respectively). A total of 9 (21%) complications occurred in group I. In contrast, 2 (5%) complications were seen in group II (p = 0.029).
conclusionsAugmentation with calcium phosphate cement significantly improved the stability of intertrochanteric fractures fixed with a PFN and reduced overall failure rates. We believe augmentation with resorbable calcium phosphate cement for osteoporotic hip fractures is a reasonable option in selected patients.
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