Serkan Akçay1, Ismail Safa Satoğlu. 1. Department of Orthopaedics and Traumatology, Izmir Katip Çelebi University, Ataturk Training and Research Hospital, Basınsitesi, Izmir, Turkey.
Sir,We read the paper reported by Gupta et al. with the title “Outcomes of osteoporotic trochanteric fractures treated with cement-augmented dynamic hip screw” with great interest.1 We congratulate the authors for their study because they referred to a well known subject about osteoporotic intertrochanteric fractures of the elderly. However we would like to point out some issues, which we believe will contribute to the study.Standard surgical technique for dynamic hip screw (DHS) does not include an additional cancellous screw to increase rotational stability in intertrochanteric femur fractures. In this study, knowing that DHS lag screw augmented by bone cement, increases the rotational stability due to the increase in the pull out strength as well as the compression capability, we could not understand why the surgeons used an additional rotational cancellous screw for extra rotational stability.2We would like to learn whether the authors, before or after the operation, initiated medical treatment for osteoporosis?