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Original Article Safety and Effectiveness of the Anchor Augmentation with Bone Cement on Osteoporotic Femoral Fracture: A Systematic Reviews
So Young Kim
Journal of Musculoskeletal Trauma 2019;32(2):89-96.
DOI: https://doi.org/10.12671/jkfs.2019.32.2.89
Published online: April 30, 2019
National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea. syni@neca.re.kr

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Abstract

PURPOSE
This paper reviewed the safety and effectiveness of anchor augmentation with bone cement in osteoporotic femoral fractures.
MATERIALS AND METHODS
A systematic review was conducted by searching multiple databases including five Korean databases, Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library. Safety was assessed through the incidence of complication. The effectiveness was assessed through the failure rate of anchor fixation, improvement of function and radiological assessment (sliding distance of lag screw and cutout). The safety and effectiveness of anchor augmentation with bone cement were assessed by reviewing all articles reporting on the treatment. Two researchers carried out independently each stage from the literature search to data extraction. The tools of Scottish Intercollegiate Guidelines Networks were used to assess the quality of studies.
RESULTS
Six studies were considered eligible. The safety results revealed a small amount of cement leakage (1 case), but no other severe complications were encountered. Regarding the effectiveness, the failure rate of anchor fixation was 16.7% and the Harris's hip score showed no significant improvement. The sliding distance of the anchor was similar in the cement augmentation group and non-cement group but there was no cutout.
CONCLUSION
The results of the assessment suggest that the safety is acceptable, but further research will be needed to verify the effectiveness of the treatment.


J Korean Fract Soc. 2019 Apr;32(2):89-96. Korean.
Published online Apr 16, 2019.
https://doi.org/10.12671/jkfs.2019.32.2.89
Copyright © 2019 The Korean Fracture Society. All rights reserved.
Original Article

Safety and Effectiveness of the Anchor Augmentation with Bone Cement on Osteoporotic Femoral Fracture: A Systematic Reviews

So Young Kim, MPH
    • National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
  • Correspondence to: So Young Kim, MPH. National Evidence-Based Healthcare Collaborating Agency, Namsan Square 7F, 173 Toegye-ro, Jung-gu, Seoul 04554, Korea. Tel: +82-2-2174-2867, Fax: +82-2-2174-2800, Email: syni@neca.re.kr
Received January 22, 2019; Revised February 10, 2019; Accepted February 22, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This paper reviewed the safety and effectiveness of anchor augmentation with bone cement in osteoporotic femoral fractures.

Materials and Methods

A systematic review was conducted by searching multiple databases including five Korean databases, Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library. Safety was assessed through the incidence of complication. The effectiveness was assessed through the failure rate of anchor fixation, improvement of function and radiological assessment (sliding distance of lag screw and cutout). The safety and effectiveness of anchor augmentation with bone cement were assessed by reviewing all articles reporting on the treatment. Two researchers carried out independently each stage from the literature search to data extraction. The tools of Scottish Intercollegiate Guidelines Networks were used to assess the quality of studies.

Results

Six studies were considered eligible. The safety results revealed a small amount of cement leakage (1 case), but no other severe complications were encountered. Regarding the effectiveness, the failure rate of anchor fixation was 16.7% and the Harris's hip score showed no significant improvement. The sliding distance of the anchor was similar in the cement augmentation group and non-cement group but there was no cutout.

Conclusion

The results of the assessment suggest that the safety is acceptable, but further research will be needed to verify the effectiveness of the treatment.

Keywords
Femur, Osteoporotic fractures, Bone cements, Systematic reviews

Figures

Fig. 1
Study flowchart. Searching through the literature identified 1,824 documents. Of these, 196 studies duplicated data from other reports and were excluded. 1,622 studies did not meet the inclusion criteria. A total of six studies were included in the final evaluation.

Tables

Table 1
Levels of Evidence

Table 2
Grades of Recommendations (Health Insurance Review Agency 2005)

Table 3
Selected Studies Characteristics

Table 4
Safety Results: Complications Related to Intervention

Table 5
Effectiveness Results: Improvement of Function

Table 6
Effectiveness Results: Radiological Assessment

Notes

Financial support:This study was supported by research funds of the Ministry of Health and Welfare.

Conflict of interests:None.

References

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    Safety and Effectiveness of the Anchor Augmentation with Bone Cement on Osteoporotic Femoral Fracture: A Systematic Reviews
    J Korean Fract Soc. 2019;32(2):89-96.   Published online April 30, 2019
    DOI: https://doi.org/10.12671/jkfs.2019.32.2.89
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