Surgical treatment of osteoporotic fractures: An update on the principles of management

The treatment of osteoporotic fractures continues to challenge orthopedic surgeon. The fragility of the underlying bone in conjunction with the need for specific implants led to the development of explicit surgical techniques in order to minimize implant failure related complications, morbidity and mortality. From the patient's perspective, the existence of frailty, dementia and other medical related comorbidities induce a complex situation necessitating high vigilance during the perioperative and postoperative period. This update reviews current principles and techniques essential to successful surgical treatment of these injuries. (C) 2017 Elsevier Ltd. All rights reserved.