[Osteosynthesis for tibial plateau fractures in geriatric patients].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-09-01 Epub Date: 2026-06-23 DOI:10.1007/s00113-026-01726-7
Adrian Deichsel, Christian Peez, Jan Christoph Katthagen, Lucas Palma Kries, Thorben Briese, Christoph Kittl, Klemens Horst, Elmar Herbst
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Abstract

The surgical management of tibial plateau fractures in geriatric patients presents relevant challenges compared with younger patient populations. In addition to fracture-specific aspects, these particularly include patient-related factors, such as osteoporosis, multimorbidity and cognitive impairment, all of which can influence the interpretation of indications, operative strategy and postoperative management. This review article provides an overview of the key considerations for osteosynthesis of geriatric tibial plateau fractures and summarizes the relevant influencing factors that should be taken into account.

[骨融合术治疗老年患者胫骨平台骨折]。
与年轻患者相比,老年患者胫骨平台骨折的手术治疗面临相关挑战。除了骨折特异性方面,这些因素还包括与患者相关的因素,如骨质疏松症、多发病和认知障碍,所有这些因素都可能影响对适应症、手术策略和术后管理的解释。本文综述了老年性胫骨平台骨折植骨术的关键考虑因素,并总结了应考虑的相关影响因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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