Functional outcomes of bicondylar tibial plateau fractures treated with dual buttress plates and risk factors: A case series

Yao, Yunfeng; Lv, Hao; Zan, Junfeng; Li, Jun; Zhu, Nan; Jing, Juehua

doi:10.1016/j.injury.2014.10.004

Cited by 34 publications

(41 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients with C-type-fractures had a significant longer incapacity of work (40.5 weeks on average) than patients with A-type-fractures (21.1 weeks) and B-type-fractures (21.9 weeks) [ 23 ]. Yao et al (2014) also found that C-type-fractures had the worst functional score results [ 24 ]. It would also be interesting to compare outcomes of infected osteosynthesis or patients with compartment syndrome in a long-term follow up.…”

Section: Discussionmentioning

confidence: 99%

Duration of incapacity of work after tibial plateau fracture is affected by work intensity

Kraus

Abele

Freude

et al. 2018

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundTibial plateau fractures requiring surgery are severe injuries of the lower extremity. Tibial plateau fractures have an impact not only on physically demanding jobs but notably on general professional life too. The aim of this study was to assess how the professional activity of patients will be affected after a tibial plateau fracture.Methods39 consecutive patients (ages 20–61 years) were retrospectively included in the study and were clinically examined at a minimum of 14 month postoperatively. Inclusion criteria were surgical treatment of tibial plateau fractures between November 2009 and December 2012. The clinical evaluation included the Lysholm score and the Oxford Knee Score. Fractures were classified and analyzed using the AO classification. Intensity of work was classified as established by the REFA Association. The patients themselves provided postoperative duration of the incapacity of work and subjective ratings.Results17 (43.6%) women and 22 (56.4%) men were examined with a mean follow-up of 29.7 ± 10.4 months (range 14–47). According to the AO classification there were 20 (51.3%) B-type-fractures and 19 (48.7%) C-type-fractures. The median incapacity of work was 120 days (range 10–700 days) with no significant differences between B- and C-type-fractures. Four (10.3%) patients reduced their working hours by 10.5 h per week on average. Patients with low workload (REFA 0–1, median incapacity of work 90 days, range 10–390 days) had a significant shorter incapacity of work than patients with heavy workload (REFA 2–4, median incapacity of work 180 days, range 90–700 days) (p < 0.05). The median Lysholm score decreased significantly from 100 points (range 69–100) before the injury to 73 points (range 23–100) at the time of the follow-up. All patients received postoperative physiotherapy (median 25 appointments, range 6–330), with a significant higher number of appointments for C-type-fractures than for B-type-fractures (p = 0.004).ConclusionA relationship was found between workload and the duration of incapacity of work after tibial plateau fractures. The post-injury shift to less demanding jobs and the reduction of working hours highlight the impact of a tibial plateau fracture on a patient’s subsequent physical ability to work.

show abstract

Section: Discussionmentioning

confidence: 99%

Duration of incapacity of work after tibial plateau fracture is affected by work intensity

Kraus

Abele

Freude

et al. 2018

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…In a study by Yao et al the time interval ranged from 7 to 14 days while Pun et al in their study reported time interval of 12 hours to 21 days (mean time 5.11 days). 20,21 In our study, mean time for bony union was 16.31 weeks ranging from 13 to 19 weeks. In study by Zhang et al, the mean period for union was 14.1 weeks in double buttress plate group.…”

Section: Discussionmentioning

confidence: 60%

Functional outcome of Schatzker type V and VI tibial plateau fractures managed with open reduction internal fixation using dual plates

et al. 2017

View full text Add to dashboard Cite

INTRODUCTIONSurgical treatment of high-energy tibial plateau fractures remains a challenge due to problems encountered which include wound complications, infection, varus collapse, knee stiffness, and articular malreductions.1-3 High energy tibial fractures usually affect the younger age group in productive life years and have significant socioeconomic impact due to late recovery time and subsequent requirement of early total knee replacement in some complicated cases. 4 Schatzker classified fractures of tibial plateau radiologically from type I to VI.5 Schatzker type V and VI fractures are high-energy fractures often accompanied by other injuries and complications. The complexity of the fracture pattern and the associated soft tissue disruption of these types of fractures contribute to high rate of failure and unsatisfactory results which follow both operative and non-operative management.6,7Several fixation methods could be used for tibial plateau fractures including unilateral fixation with a single plate, dual-plate, a hybrid external fixator or a less invasive stabilizing system. [8][9][10] There is a considerable debate regarding the best method for treating proximal tibia fractures and there is no clear consensus on which leads ABSTRACT Background: Complex tibial plateau fractures remain a challenge to even the most experienced surgeons. These injuries usually affect the young population in their productive years thereby causing socioeconomic impact. We performed a retrospective study to evaluate the functional outcome of of Schatzker type V and VI managed through open reduction and internal fixation. Methods: 26 patients with Schatzker type V and type VI tibial plateau fractures treated with open reduction and internal fixation using plates were included in the study. Three patients were lost to follow up, 23 patients were evaluated in the final analysis. The preoperative, intraoperative data was noted from the indoor files.The final evaluation was done using Oxford knee score and VAS score. Results: There were nine Schatzker type V fractures and 14 patients with Schatzker type VI fractures. The mean duration of follow-up was 68.32 months ranging from 41 months to 126 months. The mean Oxford knee score was 39.78. Patients with Schatzker type VI had mean OKS of 37.7.The mean MPTA and mean PPTA were 88.75 degrees and 7.35 degrees respectively. Average VAS Score was 2.8 ranging from 1 to 3.9. All patients returned to their preinjury level of activity and employment. There were no patients of deep infection. Conclusions:We conclude that open reduction and internal fixation of high-energy tibial plateau fractures gives excellent to good functional outcome with minimal soft tissue complications. The complications can be minimized with proper patient selection and soft tissue dissection.

show abstract

“…He had an excellent radiological Score of 18. The analysis of the follow-up radiographs revealed a median score of 17 (IQR 2.0 range [15][16][17][18]. Two cases had a joint gap of 2 and 2.3 mm without articular step.…”

Section: Resultsmentioning

confidence: 99%

Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results

Korthaus

Ballhause

Kolb

et al. 2020

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Purpose Anatomic reduction in tibial plateau fractures remains to be demanding. For further visualisation of and approach to the joint surface an extended lateral approach using a lateral femoral epicondyle osteotomy and subluxation of the lateral meniscus was recently described. First clinical and radiographic mid-term results of this technique are presented in this feasibility study. Method Ten complex tibial plateau fractures treated with extended lateral approach and lateral meniscal subluxation were prospectively analysed. Clinical and radiographic results were objectified according to the Rasmussen scores. Results After a median follow-up of 8.6 (IQR 4.3) months good to excellent clinical and radiographic results were noted. The clinical Rasmussen Score showed a median of 25 (IQR 2.8) and radiographic a median of 17 (IQR 2.0) points. Conclusion Good to excellent clinical and radiological scores were obtained after using an extended lateral approach with lateral femoral epicondyle osteotomy and central meniscus subluxation. No approach specific complications could be observed.

show abstract

Functional outcomes of bicondylar tibial plateau fractures treated with dual buttress plates and risk factors: A case series

Cited by 34 publications

References 25 publications

Duration of incapacity of work after tibial plateau fracture is affected by work intensity

Duration of incapacity of work after tibial plateau fracture is affected by work intensity

Functional outcome of Schatzker type V and VI tibial plateau fractures managed with open reduction internal fixation using dual plates

Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results

Contact Info

Product

Resources

About