骨质疏松性胫骨平台骨折的治疗进展

随着我国老龄人口的不断增加， 骨质疏松性骨折越来越多。胫骨平台骨折为关节内骨折， 大部分胫骨平台骨折需要手术治疗。由于骨密度的下降， 骨质疏松性胫骨骨折的手术治疗更具有挑战性。传统钢板治疗骨质疏松性胫骨平台骨折手术失败率非常高， 锁定钢板及骨增强技术可明显降低手术失败率。随着治疗理念的更新， 髓内钉技术、 胫骨平台成形术及全膝关节置换术也逐渐用于骨质疏松性胫骨平台骨折的初始治疗。

The progress in treatment of osteoporotic tibial plateau fracture

There are more osteoporotic fractures with the increasing aging population in China. Tibial plateau factures are intra-articular fractures, and most of which require surgical treatment. The surgical treatment of osteoporotic tibial fractures is more challenging because of the decrease in bone mineral density. The failure rate of traditional plate in the treatment of osteoporotic tibial plateau fractures is very high. The locked plate and bone strengthening technique can significantly reduce the failure rate of the surgery. With the renewal of treatment concept, intramedullary nailing technique, tibioplasty and total knee arthroplasty are applied in the initial treatment of osteoporotic tibial plateau fractures.