The Journal of Bone and Joint Surgery (American). 2009;91:2970-2982.
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Surgical Treatment of Osteoporotic Fractures About the Knee

Daniel S. Horwitz, MD1 and Erik N. Kubiak, MD1

1 Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84105

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The first 150 words of the full text of this article appear below.


   Introduction
 
Treatment of osteoporotic fractures of the distal part of the femur and the tibial plateau continues to evolve. New developments with regard to implants and operative technique now provide improved means of dealing with the numerous biological and mechanical issues that directly affect osteoporotic patients. These biological and mechanical issues commonly include degenerative joint disease, multiple medical comorbidities, limited prefracture activity levels, multiple fracture planes with lower-energy injuries, and difficulty with postoperative mobilization.

This patient population has, in general, lower demands and activity levels. While there are some exceptions, the majority of patients with osteoporosis are not running, skiing, or participating in heavy-impact aerobic exercise. Further complicating treatment are the multiple medical comorbidities affecting not only the patient's final function but also the soft-tissue and osseous healing capabilities as well as the ability to recover from prolonged inactivity. Baseline weakness and dementia can dramatically affect an elderly patient's ability to . . . [Full Text of this Article]


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