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The e-mémoires of the Académie Nationale de Chirurgie

L'ostéoporose et les insuffisances du traitement actuel

yves cirotteau

Seance of wednesday 07 february 2024 (Communications libres)

DOI number : 10.26299/hq7g-c397/emem.2024.05.04

Abstract

As orthopedic surgeons, our role is to treat and repair as best as we can broken bones that have already lost part of their bone mass because of age and/or osteoporosis. We must take into consideration the fact that the bone needs to get - from the site of the fracture (or other areas of bone) - enough calcium for the creation of a new callus and the mineralization of the bone crystal.

It can sometimes take as long as five years for a healthy bone of a young adult in good physical condition to recover a structure identical to the structure it had before being subjected to space micro gravity. How long will it take for a broken bone belonging to an older person, that has already been subjected to mineral loss, to recover its pre- fractured state?

No surgical treatment focuses on cancellous bone loss due to osteoporosis. In the course of a prospective multi centric, randomized study, it was found that several fractures not treated with a bone substitute had not consolidated after one year. Those treated with a living bone substitute can recover in two months or less for some of them. None of the metallic implant is able to treat properly all fracture sites of a complex trochanteric fracture, except a modified Staca nail and a screw-plate stabilized with two cables.
Twenty-two patients were treated preventively with a living bone substitute. None of them broke her hip.