Summary table of surgical treatment
of unstable fractures linked to osteoporosis


QUESTIONS Classic treatment Proposed treatment
What is done about holes in the fractured bone? Nothing Filling-graft
What are they filled with? Nothing Natural coral
Why fill them? - To increase the bone stocks
Why increase it? - It forms the Calcium reserve
What is it used for? - The whole body
Where is it found?
 - Everywhere
OSTEOPOROTIC FRACTURE Classic treatment Proposed treatment
Are there several techniques? Screw-plate, nail Screw-plate
Which screw-plate is used? Dynamic screw-plate Stabilised screw-plate
What is the goal? Impaction Stabilisation of the fracture
What is the risk? Shortening No shortening
It is important ? 7 to 25 mm None
Are all the fragments treated? No Yes
Why? None Reconstruct the anatomy
What is the goal? - To reduce pain
To limit bed rest
To limit sequelae
How can pain be reduced? - By fixing the fragments
How are they fixed? They are not fixed Using cables
How long is bed rest? 45 days 10 days
Percentage of sequelae 75 % 25 %
Bone consolidation time 90 to 100 days 50 % in 45 days
75% in 60 days
Why these differences? Unstable site
Pain
Prolonged bed rest		 Early treatment
Quality of bone callus Mediocre Good
Why this difference? Small bone stock Local provision of substitute
Return home

 90 days on average
 21 to 45 days
OPPOSITE SIDE Classic treatment Proposed treatment
Bone densitometry No Yes
Preventive treatment None Injection of biomaterial