Internal Fixation in Osteoporotic Bone 1st Edition

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Osteoporosis affects 28 million people in the United States alone. The need for stable internal fixation of this type of bone is paramount. Metabolic bone diseases, such as osteoporosis, osteomalacia, hyperparathyroidism, and Paget's disease, are usually associated with osteoporotic or soft skeleton, especially in the elderly patient. Orthopedic procedures in elderly patients are costly and with the increasing age of the population these costs will continue to escalate. Great challenges are often encountered when internal fixation is needed for fractures or osteotomies in osteoporotic bone. This book is designed to present both current clinical techniques and cutting-edge knowledge in pre-clinical research on the internal fixation of osteoporotic bone. Table of Contents FOREWORD PREFACE CONTRIBUTORS SECTION I. ESSENTIALS OF OSTEOPOROSIS 1. Pathogenesis and Histomorphology of Osteoporosis—Helen E. Gruber 2. Biomechanics of Osteoporotic Bone and Fractures—Nozomu Inoue and Edmund Y.S. Chao 3. Biology and Biomechanics of Fracture Healing—William R. Walsh, Yan Yu, Jia Lin Yang, R. Hocking, P. Chapman-Sheath, and Warwick Bruce 4. Mechanisms of Internal Fixation of Bone—Allan F. Tencer 5. Imaging and Bone Densitometry of Osteoporosis—Sven Prevrhal, Christopher F. Njeh, Michael Jergas, and Harry K. Genant SECTION II. CURRENT CLINICAL TECHNIQUES 6. Current Methods and Trends inFixation of Osteoporotic Bone—Yuehuei H. An, Chadler R. Burgoyne, Matthew S. Crum, and John A. Glaser 7. Basic Principles and Techniques of Internal Fixation in Osteoporotic Bone—Ralph Hertel and Bernhard Jost 8. Internal Fixation of Osteoporotic Long Bone—Charles N. Cornell 9. Internal Fixation of Osteoporotic Spine—Kazuhiro Hasegawa and Toru Hirano 10. Internal Fixation of Osteoporotic Acetabular and Pelvic Fractures—Dana C. Mears and Simon C. Mears 11. Internal Fixation in Patients with Paget’s Disease—Frederick S. Kaplan and David L. Glaser 12. Internal Fixation in Patients with Osteogenesis Imperfecta—Lewis E. Zionts and Edward Ebramzadeh 13. Bone Fixation in Patients with Bone Tumors—Kamron Aflatoon, Deborah Anne Frassica, Nozomu Inoue, and Frank J. Frassica 14. External Fixation in Osteoporotic Bone—J. Carel Goslings 15. Fracture Prevention and Medical Treatment of Osteoporosis—Joseph M. Lane, Linda Russell, and Safdar N. Khan SECTION III. NEW CLINICAL APPLICATIONS AND NOVEL CONCEPTS: BONE SCREWS, PINS, AND AUGMENTATION 16. Norian SRS Resorbable Cement for Augmentation of Internal Fixation of Hip Fractures— Stuart B. Goodman and Sune Larsson 17. Fixation of Unstable Osteoporotic Intertrochanteric Fractures Using the DHS and a Glass- Ionomer Cement—Lutz E. Claes, Christiane Becker, Martin Simnacher, and Ingolf Hoellen 18. Enhanced Stability of External Fixation with Hydroxyapatite-Coated Pins—Antonio Moroni 19. Internal Fixation of Osteoporotic Proximal Femoral Fractures Using a Novel Device Enhanced by Hydroxyapatite Granules—Kazuhiro Hasegawa 20. An Interlocking Screw for Fixation in Osteoporotic Bone—Brodie E. McKoy, Geoffrey S. Connor, and Yuehuei H. An 21. An Injectable Cementing Screw for Fixation in Osteoporotic Bone—Brodie E. McKoy and Yuehuei H. An 22. A Cement Screw for Fixation in Osteoporotic Metaphyseal Bone—Peter A. Reynders and Luc A. Labey SECTION IV. NEW CLINICAL APPLICATIONS AND NOVEL CONCEPTS: BONE PLATES 23. Resorbable Implants as a Means of Augmenting Metal Plate Fixation in Osteoporotic Bone-Sylwester Gogolewski 24. Interlocked Blade Plates in the Treatment of Osteoporotic Metaphyseal Fractures— Simon H. Palmer 25. LISS Plate Fixation of Periprosthetic Supracondylar Femur Fractures—Kyle E. Watford, Philip J. Kregor, and Langdon A. Hartsock 26. An Axially Mobile Plate for Fracture Fixation—Eric W. Abel, Jun Sun, and David I. Rowley SECTION V. NEW CLINICAL APPLICATIONS AND NOVEL CONCEPTS: INTRAMEDULLARY NAILS 27. The Huckstep Nail for Fixation of Mechanically Deficient Femoral Bone—Nasser M. Kurdy and Charles I. Ayekoloye 28. Intramedullary Cement Fixation of Proximal Humeral Fractures in the Elderly Patient— Masahiko Matsuda 29. Synthes Spiral Blade Intramedullary Nail System for Proximal Humeral Fractures— Jeffrey M. Conrad, Michael S.Wildstein, and Langdon A. Hartsock 30. An Expandable Intramedullary Nail for Fixation in Osteoporotic Bone—Nadav Shasha, Nehemia Blumberg, Michael Tauber, and Shmuel Dekel 31. Improving the Distal Fixation of Intramedullary Nails in Osteoporotic Bone—Frederick J. Kummer SECTION VI. NEW CLINICAL APPLICATIONS AND NOVEL CONCEPTS: SPINAL FIXATION 32. Percutaneous Vertebroplasty Using Bone Cement for Compromised Vertebral Bodies— Bernard Cortet, Pierre Hardouin, and Anne Cotten 33. Vertebroplasty with Inflatable Bone Tamps and Calcium-Phosphate Cement—Jorrit-Jan Verlaan, F. Cumhur Oner, Abraham J. Verbout, and Wouter J.A. Dhert 34. Minimally Invasive Surgery for the Treatment of Vertebral Compression Fractures— Joseph M. Lane, Safdar N. Khan, Federico P. Girardi, and Frank P. Cammisa, Jr. 35. A Self-Guided Pedicle Screw for Anterior Fixation of Cervical Spine—Baoren Liu and Yuehuei H. An 36. TPS Devices for Treatment of Vertebral Tumors and Pathological Compression Fractures— Jean-Valéry C.E. Coumans, Connie P. Marchek, and Fraser C. Henderson INDEX