ABSTRACT
In geriatric patients, intramedullary fixation should be used for long bone fractures. Special intramedullary locking options allow for antagonization of the effects of osteoporosis. In periarticular fractures, locked plating is the standard of care and sometime bilateral plating is required to improve primary stability. The use of additional adjuncts for fracture healing, as seen in younger patients, is not recommended. Most of the AO/ASIF principles that are known in younger patients can also be applied in osteoporosis.
