Proximal tibial fractures are typically treated with osteosynthesis. In older patients, this method has been reported to be associated with a high complication rate, risk of post-traumatic osteoarthritis, and long partial or non-weight bearing during the recovery phase. To avoid these problems, primary total knee replacement (TKR) has become an increasingly common treatment option.

中文翻译：

---

膝关节置换术作为胫骨近端骨折的主要治疗方法：22例平均随访时间为19个月的患者的临床结果分析

胫骨近端骨折通常采用骨固定术治疗。在老年患者中，据报道这种方法与高并发症发生率，创伤后骨关节炎的风险以及恢复期长期负重或不负重有关。为了避免这些问题，一次全膝关节置换术（TKR）已成为一种越来越普遍的治疗选择。