Gausepohl, Thomas, Gick, Sascha, Heck, Steffen and Pennig, Dietmar (2019). Osteoporotic bone fractures: intramedullary augmentation and hybrid osteosynthesis. Unfallchirurg, 122 (8). S. 596 - 604. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

The increasing number of people who are living longer and have a far more active lifestyle is inevitably associated with greater numbers of fractures. Stabilization of these fractures in older patients with plates and screws is complicated by fragile bone substance, especially in osteoporotic bone, since osteosynthesis with a conventional plate depends exclusively on the holding power of the screws. Therefore, treatment requires new stabilization technologies designed for these specific tasks. A small diameter polyethylene terephthalate (PET, Dacron (R)) balloon is delivered in a minimally invasive fashion and placed within the canal, transversing the fracture. Once positioned, the balloon is expanded with a liquid monomer to fill the medullary canal. The liquid monomer is then rapidly cured using visible blue light, forming a patient-customized intramedullary implant that stabilizes the entire length of the bone in contact with the implant. The described intramedullary implant can be easily drilled in any position or location, providing a substantial increase in screw holding power. Thus, a major advantage of the technique is the possibility to augment the newly formed balloon nail with a conventional plate and screws at the primary stabilization or at any later time.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Gausepohl, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gick, SaschaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heck, SteffenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pennig, DietmarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-145843
DOI: 10.1007/s00113-019-0660-6
Journal or Publication Title: Unfallchirurg
Volume: 122
Number: 8
Page Range: S. 596 - 604
Date: 2019
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1433-044X
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
STABILIZATION SYSTEM; FIXATIONMultiple languages
Emergency Medicine; SurgeryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14584

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