老年骨质疏松性肱骨远端骨折治疗的焦点问题与对策

Controversies and countermeasures in treatment of osteoporotic distal humerus fracture in the elderly

老年骨质疏松性肱骨远端骨折发病率随老龄化进展逐步上升。骨质疏松性肱骨远端骨折复位困难、内固定效果差、治疗难度大,需结合患者病情及功能要求制订个体化治疗方案。笔者结合老年骨质疏松性肱骨远端骨折治疗的最新进展,阐述骨质疏松性肱骨远端骨折治疗的焦点问题,为临床诊疗提供参考。

The incidence of osteoporotic distal humeral fracture in the elderly is progressing in recent decade.Difficulty of reduction and poor internal fixation stability make osteoporotic distal humerus fractures become a challenging fracture type.Therefore,it is necessary to develop an individualized treatment plan based on the patient's condition and functional requirements.The authors discuss key questions in the treatment of osteoporotic distal humerus fracture in combination with current literatures and researches,so as to provide a reference for clinical diagnosis and treatment.