老年骨质疏松性股骨远端骨折治疗方法的研究进展

Research advances in treatment of distal femoral fracture in elderly patients with osteoporosis

股骨远端骨折是老年骨质疏松性下肢骨折常见的类型。由于这类患者多存在骨质疏松、骨折粉碎、全身情况不良等特点,临床治疗面临挑战。随着对该类骨折认识的深入以及内固定器械的发展和手术技术的进步,更多新的治疗方法逐渐得到应用。笔者对近年该类骨折手术入路、固定方式选择、假体置换及抗骨质疏松治疗等方面的最新进展进行综述,为老年骨质疏松性股骨远端骨折的临床治疗提供参考。

The distal femoral fracture is a common type of osteoporotic fractures of lower extremities in the elderly.Because this kind of patients are mostly characterized by osteoporosis,comminuted fracture and poor general condition,the clinical treatment faces challenges.With the deepening understanding of this type of fracture and development of internal fixation devices and surgical techniques,more new treatment methods have been gradually applied.The authors retrieve and summarize the latest research progresses in surgical approaches,internal fixation and anti-osteoporosis drug therapy in recent years,in order to provide references for clinical treatment of senile osteoporotic distal femur fracture.