Benum P
Acta Orthop Scand. 1977 May;48(1):52-6. doi: 10.3109/17453677708985111.
Bone cement was used as an adjunct to internal fixation of 14 supracondylar femoral fractures. The fractures were stabilized with ASIF plates. In all these fractures severe osteoporosis made a stable fixation impossible without the use of bone cement. The average age of the patients was 75 years. Eight of the patients had previously been operated on because of fractures of the same extremity and three suffered from disabling diseases. Twelve fractures healed without complications, despite early mobilization. One fracture needed additional external fixation before it healed and one lead to non-union. No infections were seen. It is concluded that use of bone cement as an adjunct to the internal fixation of supracondylar fractures secures a stable fixation of even the most severe osteoporotic femora, and this aids healing in most cases of such fractures. The method is recommended in selected cases of elderly patients.
骨水泥被用作14例股骨髁上骨折内固定的辅助材料。骨折用AO/ASIF钢板固定。在所有这些骨折中，严重的骨质疏松使得不使用骨水泥就无法实现稳定固定。患者的平均年龄为75岁。其中8例患者此前因同一肢体骨折接受过手术，3例患有致残性疾病。尽管早期进行了活动，12例骨折愈合且无并发症。1例骨折在愈合前需要额外的外固定，1例导致骨不连。未发现感染情况。结论是，在股骨髁上骨折内固定中使用骨水泥作为辅助材料，即使是最严重的骨质疏松性股骨也能实现稳定固定，并且在大多数此类骨折病例中有助于愈合。该方法推荐用于特定的老年患者病例。
