Functional outcomes after surgical treatment of tibial plateau fractures Journal of Clinical Orthopaedics and Trauma

Tibial plateau fractures are signi fi cant because of its intra-articular nature. In this study, we aim to evaluate the functional outcomes of tibial plateau fractures after surgical treatment and to determine the rates of return to work and sports after recovery. This is a retrospective study conducted at a single tertiary-level institution. Forty-one patients with tibial plateau fractures were operatively treated during our study period. Patient information including injury mechanism, surgical treatment and associated injuries were documented. Pre-operative and post-operative radiographs were reviewed to con fi rm Schatzker type and adequacy of reduction. Follow up data for thirty-one patients was obtained nineteen to forty-two months post-surgery. All patients were administered functional outcome questionnaires using the Western Ontario and McMaster University Osteoarthritis index (WOMAC) and Short Form 36 (SF-36) general health survey. Data regarding return to work and sports was also collected. Data analysis was done to determine the relationship between fracture type, adequacy of reduction and functional outcome. being associated Majority of patients were able to return to their pre-injury employment but only a small minority were able to return to sports.

[1]  D. Evangelopoulos,et al.  Medium-Term Results after Surgical Treatment of High-Energy Tibial Plateau Fractures , 2019, The Journal of Knee Surgery.

[2]  V. Trikha,et al.  CT based management of high energy tibial plateau fractures: A retrospective review of 53 cases. , 2017, Journal of clinical orthopaedics and trauma.

[3]  S. Pathak,et al.  Functional Outcome and Incidence of Osteoarthritis in Operated Tibial Plateau Fractures. , 2018, The archives of bone and joint surgery.

[4]  E. Strauss,et al.  Knee Stiffness After Tibial Plateau Fractures: Predictors and Outcomes (OTA-41) , 2018, Journal of orthopaedic trauma.

[5]  A. Ateschrang,et al.  Duration of incapacity of work after tibial plateau fracture is affected by work intensity , 2018, BMC Musculoskeletal Disorders.

[6]  D. Lorich,et al.  The Effect of Soft Tissue Injuries on Clinical Outcomes After Tibial Plateau Fracture Fixation , 2017, Journal of orthopaedic trauma.

[7]  K. Egol,et al.  Participation in Recreational Athletics After Operative Fixation of Tibial Plateau Fractures: Predictors and Functional Outcomes of Those Getting Back in the Game , 2017, Orthopaedic journal of sports medicine.

[8]  N. Singleton,et al.  Outcome After Tibial Plateau Fracture: How Important Is Restoration of Articular Congruity? , 2017, Journal of orthopaedic trauma.

[9]  O. Kose,et al.  Measurement of lateral plateau depression and lateral plateau widening in a Schatzker type II fracture can predict a lateral meniscal injury , 2013, Knee Surgery, Sports Traumatology, Arthroscopy.

[10]  U. Stöckle,et al.  Return to Sports Activity After Tibial Plateau Fractures , 2012, The American journal of sports medicine.

[11]  R. Marti,et al.  Operative Treatment of 109 Tibial Plateau Fractures: Five- to 27-Year Follow-up Results , 2007, Journal of orthopaedic trauma.

[12]  W. Mills,et al.  Functional outcomes of severe bicondylar tibial plateau fractures treated with dual incisions and medial and lateral plates. , 2006, Journal of Bone and Joint Surgery. American volume.

[13]  M. Gardner,et al.  Prediction of soft-tissue injuries in Schatzker II tibial plateau fractures based on measurements of plain radiographs. , 2006, The Journal of trauma.

[14]  M. Bailey,et al.  Functional outcome of tibial plateau fractures treated with the fine-wire fixator. , 2005, Injury.

[15]  E. Su,et al.  Operative Treatment of Tibial Plateau Fractures in Patients Older Than 55 Years , 2004, Clinical orthopaedics and related research.

[16]  J. L. Marsh,et al.  High-Energy Fractures of the Tibial Plateau: Knee Function After Longer Follow-up , 2002, The Journal of bone and joint surgery. American volume.

[17]  L. Sharma,et al.  The role of knee alignment in disease progression and functional decline in knee osteoarthritis. , 2001, JAMA.

[18]  M. McKee,et al.  The Long-Term Functional Outcome of Operatively Treated Tibial Plateau Fractures , 2001, Journal of orthopaedic trauma.

[19]  T. Gill,et al.  Arthroscopic Reduction and Internal Fixation of Tibial Plateau Fractures in Skiing , 2001, Clinical Orthopaedics and Related Research.

[20]  J. Keating Tibial plateau fractures in the older patient. , 1999, Bulletin (Hospital for Joint Diseases (New York, N.Y.)).

[21]  S E Honkonen,et al.  Degenerative Arthritis After Tibial Plateau Fractures , 1995, Journal of orthopaedic trauma.

[22]  S E Honkonen,et al.  Indications for surgical treatment of tibial condyle fractures. , 1994, Clinical orthopaedics and related research.

[23]  G. Bentley,et al.  Degenerative arthritis after intra-articular fractures of the knee. Long-term results. , 1990, The Journal of bone and joint surgery. British volume.

[24]  D. B. Jensen,et al.  Tibial plateau fractures. A comparison of conservative and surgical treatment. , 1990, The Journal of bone and joint surgery. British volume.

[25]  J. Harvey,et al.  Tibial Plateau Fractures: Definition, Demographics, Treatment Rationale, and Long‐Term Results of Closed Traction Management or Operative Reduction , 1987, Journal of orthopaedic trauma.

[26]  R. McBroom,et al.  The tibial plateau fracture. The Toronto experience 1968--1975. , 1979, Clinical orthopaedics and related research.

[27]  M. Piercey Tibial plateau fracture. , 1978, The Nurse practitioner.

[28]  J. Kennedy,et al.  Experimental tibial-plateau fractures. Studies of the mechanism and a classification. , 1968, The Journal of bone and joint surgery. American volume.