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ECOOG2012
05/06/1433
Is it challenging..?
Is it challenging..?
* The major technical problem that surgeons face, is the difficulty to obtain a stable fixation of an implant due to osteoporotic bone. * The load transmitted at the bone-implant interface can often exceed the reduced strain tolerance of osteoporotic bone.
J Bone Joint Surg. 2006
ECOOG2012
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Is it challenging..?
Osteoporosis makes internal fixation problematic and frequently contributes to failed fixation and poor clinical results .
J Shoulder Elbow Surg. 2003
ECOOG2012
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When,,,,,,,,,,,,,,,?
All of us are confronted by the same problem but the date of meeting makes a very big difference..!!!!!!!!!!!!
ECOOG2012
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Patient .
65 year. Weight100 kg. No immediate post op view.!!!
ECOOG2012
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History..
Angry wound Serous discharge for a week post operative
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Associated problems.!
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Decision
Is to redo + bone grafting + no wieght bearing
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So it is real
Osteoporosis makes internal fixation problematic and frequently contributes to failed fixation and poor clinical result .
ECOOG2012
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Case 2
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Teamwork
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Healing in osteoporosis
Fracture healing in osteoporotic fractures: is it really different? A basic science perspective. Giannoudis P, Tzioupis C, Almalki T, Buckley R.
ECOOG2012
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The
biological
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