ABSTRACT
The prevalence of osteoporotic fractures is a major health burden (1). As the population ages and has increased functional expectations, surgical optimization of function within finite health budgets is a challenge. Classical fixation principles need to be modified to a new osteoporotic paradigm. Decreased bone healing potential in osteoporosis (2), impaired stem cell function (3), the pro-inflammatory environments (4), and increased implant failure highlight the difficulties faced in the oncoming epidemic.
