Synthesis of Controlateral Hip Fracture in Osteoporotic Patients – Prophylactic Treatment

Abstract

the study tried to evaluate the advantages of mini-invasive prophylactic synthesis of controlateral hip fractures in osteoporotic patients. Material and method: 4 patients have been operated between 2009-2010 with hip fractures in osteoporotic patients. Neck fractures Garden IV in 2 patients and pertrochanteric fractures Kyle III and IV in two others patients. The fracture site was operated in dorsal decubitus under spinal anesthesia, we took adventage of this operation and anesthesia to performe a minimal invasive percutaneous synthesis for the nonfracture controlateral side. We used a simple implant, a quickly method during the same surgery time and anesthesia. The K wires with injected cement were percutaneously inserted. Through a 5 mm skin incision, a channel is created in the proximal femur bone and the implant, made of a fabric pouch hosting Titanium rods, is built percutaneously within the femur. A small amount of bone cement is then added, and interdigitates to the osteoporotic bone to further fixate the implant. Results: Rehabilitation was obtained and full weight bearing was allowed immediately. The potential benefits expected with the use of this minimally invasive method are: Quick procedure 15 min, No soft tissue or bone damage, No bleeding, short rehabilitation period, reduced morbidity and mortality, Low cost, same drape, single anesthesia. Conclusions: The method is simple, reproductible and economically. It can be made in emergency by the resident surgeon. The patient will be operated during the same anesthesia after the operation of fractured hip.