[Compression hip screw fixation with bone cement in trochanteric fractures].

Internal fixation with compression hip screw (DHS) of trochanteric fractures in osteoporotic patients may be followed by failure of fixation. The most common failure is represented by the "cut-out" of the screw. This complication may occur in 4-10% of unstable trochanteric fractures. In order to avoid such a problem we chose a technical solution that offers a good fixation of the screw in the femoral head. The technique, described by Bartucci, was used in a 78 years old female with unstable trochanteric fracture and severe osteoporosis. The postoperative result was very good and no mechanical complications were noted. We consider that the technique of augmentation of fixation using acrylic bone cement may be a solution in such cases.