Despite advances in technology such as locked plating, osteoporotic bone and bone defects remain challenging complications for orthopaedic surgeons. The concept of augmented fixation is useful in these settings. Augmented fixation can be described as improving construct strength and stability by enhancing the surrounding environment. By understanding and using the techniques of alternative fixation strategies, endosteal or medullary support, structural grafting, or the use of bone graft substitutes in combination with standard or integrated fixation, surgeons can improve the chances of success when treating difficult fractures. The purpose of this article is to introduce the reader to the concept of augmented fixation, review strategies for its application, and review applicable published results.
From the Department of Orthopaedic Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA (Dr. Marecek), and the Département de Chirurgie Orthopédique (Dr. Centomo), Hôpital Notre-Dame, Montréal, QC, Canada.
Dr Marecek or an immediate family member serves as a paid consultant to DePuy Synthes, Globus Medical, NuVasive, Stryker, and Zimmer Biomet; has received research or institutional support from BoneSupport AB; serves as a board member, owner, officer, or committee member of the Orthopaedic Trauma Association and Western Orthopaedic Association. Neither Dr. Centomo nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article has nothing to disclose.