Tibial Plateau Fractures
Decreased bone stock from osteoporosis or from osteopenia for other reasons, complicates the management of patients with fractures of the tibial plateau. There is an increased risk of fracture displacement after both conservative and operative management. When a tibial plateau fracture results from high-energy trauma in a patient with osteoporosis, greater comminution occurs than in a proximal tibia without osteoporosis. If an operative approach is chosen, implant fixation is less secure, decreasing the effectiveness of the device. Finally, patients with osteoporosis are frequently elderly and have poor tolerance for certain nonoperative treatment techniques, particularly traction, which requires prolonged bed rest.
KeywordsArthritis Depression Osteoporosis Immobilization Degenerative Arthritis
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