老年胫骨平台骨折特点和治疗进展

Clinical features and advance in treatment of tibial plateau fractures in elderly

随着社会老龄化的进程,老年胫骨平台骨折占胫骨平台骨折比例逐渐增加,其中以车祸损伤最常见。暴力大小和骨折损伤程度相关性降低,轻微暴力可导致胫骨平台骨折,低暴力也容易导致复杂的胫骨平台骨折。老年胫骨平台骨折合并韧带或半月板损伤相对少见。老年人胫骨平台骨折的治疗包括保守治疗、切开复位内固定、外固定或全膝关节置换术等。目前对治疗方法的选择仍存在争议。本文旨在对老年人胫骨平台的特点和治疗进行综述,帮助临床医师提高对老年胫骨平台的认识和选择最好的治疗方式。

With the process of social aging, the number of tibial plateau fractures in the elderly gradually increased, among which traffic accident injury is the most common. The correlation between the magnitude of violence and the degree of fracture damage is reduced.Mild violence can lead to tibial plateau fractures, and low violence can easily lead to complex tibial plateau fractures. The tibial plateau fracture with ligament or meniscus injury is relatively rare in the elderly. Currently, the management of tibial plateau fractures in the elderly involves conservative treatment, internal fixation, external fixation, even total knee arthroplasty. This article aims to summarize the characteristics and current treatment to help clinicians improve the understanding of the tibial plateau fractures and choose proper treatment in the elderly.