Hertel R, Aebi M, Ganz R
Universitätsklinik für Orthopädische Chirurgie, Inselspital, Bern.
Unfallchirurg. 1990 Oct;93(10):479-84.
Operative treatment of fractures in osteoporotic bone using standard techniques such as are applied in normal bone leads to special problems. The major difficulty is the limited anchorage of any implant in osteoporotic bone. To improve the stability of an implant in osteoporotic bone the following techniques are applicable, either singly or in combination: impaction, long-distance splinting, large-area surface buttressing, osteotomy, and the use of bone cement as a spacer and to improve the purchase of screws. The different techniques are discussed and examples of their application are presented.
采用适用于正常骨骼的标准技术对骨质疏松性骨折进行手术治疗会引发特殊问题。主要困难在于任何植入物在骨质疏松性骨骼中的锚固力有限。为提高植入物在骨质疏松性骨骼中的稳定性，可单独或联合应用以下技术：嵌压、长距离夹板固定、大面积表面支撑、截骨术，以及使用骨水泥作为间隔物并改善螺钉的把持力。文中对不同技术进行了讨论并给出了应用实例。
