COMPARISON OF SURGICAL TREATMENT RESULTS AND CLINICAL AND RADIOLOGICAL FINDINGS OF TIBIAL PLATEAU FRACTURES
Abstract
Introduction: In this retrospective study, it was aimed to evaluate the correlation between operative treatment results and clinical and radiological findings of tibial plateau fractures.
Patients and Methods: Between 1996 and 2006, 33 knees were operated for tibia plateau fracture of 32 patients. 29 patients were male and 3 were female. Only 3 cases (9.99%) were open tibial plateau fractures. The mean age was 45 years. Fractures classified using the Schatzker classification were: 17 (52%) type 1, 12 (12%) type 2, 9 (27%) type 5 and 6 (9%) type 6. Patients following the period were at least 44 weeks and maximum 480 weeks (mean 60 weeks).
Results: The results of 33 patients were determined by the clinical and radiological system of Rasmussen. According to clinical findings, 17 cases were excellent, 9 were good, 6 were medium and 1 was poor. According to the radiological findings, 9 cases were excellent, 16 were good, 6 were medium and 2 were bad. The difference between clinical and radiological findings was analyzed with Pearson core analysis and statistically significant (p <0.005). Comparison was made according to the time between injury and operation and no statistically significant difference was found (p> 0.005). The analyzes of the grade of fracture and the degree of fracture were statistically significant (p <0.005). 42.4% of all patients had meniscus injury. Therefore, arthroscopy should be used with surgery.
Conclusion: Anatomic reduction, rigid fixation of the joint and early mobilization can reduce complications and improve the function of the knee joint in tibial plateau fractures.
Keywords
Full Text:
PDFReferences
Pean CA, Driesman A, Christiano A, Konda SR, Davidovitch R, Egol KA. Functional and clinical outcomes of nonsurgically managed tibial plateau fractures. J Am Acad Orthop Surg. 2017;25(5):375-80.
Schatzker J, McBroom R, Bruce D. The tibial plateau fracture. The Toronto experience 1968--1975. Clin Orthop Relat Res. 1979(138):94-104.
Abdel MP, von Roth P, Cross WW, Berry DJ, Trousdale RT, Lewallen DG. Total knee arthroplasty in patients with a prior tibial plateau fracture: a long-term report at 15 years. J Arthroplasty. 2015;30(12):2170-2.
Singleton N, Sahakian V, Muir D. Outcome after tibial plateau fracture: how important is restoration of articular congruity? J Orthop Trauma. 2017;31(3):158-63.
Cooper A, Tyrrell F. The lectures of Sir Astley Cooper on the principles and practice of surgery: Sherman; 1826.
Van Dreumel R, Van Wunnik B, Janssen L, Simons P, Janzing H. Mid-to long-term functional outcome after open reduction and internal fixation of tibial plateau fractures. Injury. 2015;46(8):1608-12.
Musahl V, Tarkin I, Kobbe P, Tzioupis C, Siska P, Pape H-C. New trends and techniques in open reduction and internal fixation of fractures of the tibial plateau. J Bone Joint Surg Br. 2009;91(4):426-33.
Su EP, Westrich GH, Rana AJ, Kapoor K, Helfet DL. Operative treatment of tibial plateau fractures in patients older than 55 years. Clin Orthop Relat Res. 2004;421:240-8.
Chauhan A, Slipak A, Miller MC, Altman DT, Altman GT. No Difference Between Bracing and No Bracing After Open Reduction and Internal Fixation of Tibial Plateau Fractures. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2018;26(6):e134-41.
Shrestha R, Kandel M, Gupta HK, Shrestha SK, Dongol S, Hamal RR. A study of conservative management of tibial plateau fractures. Journal of College of Medical Sciences-Nepal. 2016;12(1):5-9.
Chen XZ, Liu CG, Chen Y, Wang LQ, Zhu QZ, Lin P. Arthroscopy-assisted surgery for tibial plateau fractures. Arthroscopy. 2015;31(1):143-53.
Warner SJ, Garner MR, Schottel PC, Fabricant PD, Thacher RR, Loftus ML, et al. The effect of soft tissue injuries on clinical outcomes after tibial plateau fracture fixation. J Orthop Trauma. 2018;32(3):141-7.
Li D, Fang Y, Liang Y, Ma K, Zou C. Postoperative computed tomography evaluation of posterior tibial plateau fractures: mean 7-Year clinical follow-up. J Knee Surg. 2018;31(7):670-6.
Patel P, Trivedi K, Kumar P, Mehrotra R, Chaudhary D, Chaudhary P, et al. Assessment of Functional and Radiological Outcome of Proximal Lateral Condyle Fracture of Tibia (Schatzker Type 1, 2 and 3) Fixed with Locking Compression Plate and Screw. Indian Journal of Public Health Research & Development. 2018;9(5):279-83.
Blokker CP, Rorabeck CH, Bourne RB. Tibial plateau fractures. An analysis of the results of treatment in 60 patients. Clin Orthop Relat Res. 1984;182:193-9.
Rasmussen PS. Tibial condylar fractures: impairment of knee joint stability as an indication for surgical treatment. J Bone Joint Surg Am. 1973;55(7):1331-50.
Stevens DG, Beharry R, McKee MD, Waddell JP, Schemitsch EH. The long-term functional outcome of operatively treated tibial plateau fractures. J Orthop Trauma. 2001;15(5):312-20.
Kayıran E, Orhan Z, Parmaksızoğlu A, Erdemir A. Yazıcı N. Tibia plato kırıklarının cerrahi tedavisinde sonuçları etkileyen faktörler. Acta Orthop Traumatol Turc. 2000;34:34-9.
Papagelopoulos PJ, Partsinevelos AA, Themistocleous GS, Mavrogenis AF, Korres DS, Soucacos PN. Complications after tibia plateau fracture surgery. Injury. 2006;37(6):475-84.
DOI: http://dx.doi.org/10.24125/sanamed.v14i2.310
Refbacks
- There are currently no refbacks.
Copyright (c) 2019 Lokman KEHRIBAR, Levent KARAPINAR
This work is licensed under a Creative Commons Attribution 4.0 International License.