ABSTRACT
The number of elderly patients with osteoporotic/fragile bones will continue to increase in the years to come. Fixation of fractures in this patient cohort remains a challenge despite the advancements made in implant design and the introduction of locking plates. Failure of fixation is not infrequent due to the underlying compromised bone stock and associated comorbidities. The use of bone augmentation techniques can provide a solution to this clinical challenge. Different materials can be used for reconstruction of osseous voids in different anatomical locations. Polymethyl methacrylate implantation has been associated with improving the implant bone fixation interface, particularly in pathologic fractures. Similarly, calcium cements provide subchondral support in articular impaction injuries. Careful surgical planning and appropriate instrumentation and execution remain essential for a successful outcome. However, the predictability and reliability of the strengthening effect of augmentation materials remain moderate.
