Abstract:  There are more osteoporotic fractures with the increasing aging population in China. Tibial plateau factures are intra-articular fractures, and most of which require surgical treatment. The surgical treatment of osteoporotic tibial fractures is more challenging because of the decrease in bone mineral density. The failure rate of traditional plate in the treatment of osteoporotic tibial plateau fractures is very high. The locked plate and bone strengthening technique can significantly reduce the failure rate of the surgery. With the renewal of treatment concept, intramedullary nailing technique, tibioplasty and total knee arthroplasty are applied in the initial treatment of osteoporotic tibial plateau fractures.

Key words: osteoporosis, tibial fractures, surgical procedures, operative, review, tibial plateau fracture