Cement augmentation Severe osteopenia Polymethyl methacrylate (PMMA) Improves screw purchase Augment deficient medial cortex Prevent screw cut out
Rehabilitation Mobilize Weight bearing as tolerated Etc. etc.etc.
Failed fixation Screw cut out Screw barrel disengagement
Salvage of failed fixation
Outcome Mortality 7-27% 3 months post-op # of medical problems # of post-op complications Function 40% pre-injury ambulatory status 40% ambulatory increased dependence 12% household ambulates 8% non ambulates