Operative Treatment of 109 Tibial Plateau Fractures: Five- to 27-Year Follow-up Results

Rademakers, Maarten V.; Kerkhoffs, Gino M. M. J.; Sierevelt, IN; Raaymakers, E. L. F. B.; Marti, R K

doi:10.1097/bot.0b013e31802c5b51

Cited by 273 publications

(240 citation statements)

References 32 publications

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“…There is a consensus that treatment of these soft tissue pathologies is needed to obtain a stable knee joint, achieve good functional results, and prevent development of osteoarthritis [9]. However, in this study, the mean follow-up time was 2.7 years (range, 1.2 -3.6 years), therefore, development of osteoarthritis could not have been monitored.…”

Section: Discussionmentioning

confidence: 73%

“…Surely, a stable knee is essential for the postoperative immediate motion, restoration of former knee function and reducing risk of secondary osteoarthritis in long term [9]. Many authors reported the advantage of early knee joint ROM after surgical treatment of tibial plateau fracture [1]- [3] [7]- [9] [11]- [25].…”

Section: Discussionmentioning

confidence: 99%

“…Many authors reported the advantage of early knee joint ROM after surgical treatment of tibial plateau fracture [1]- [3] [7]- [9] [11]- [25]. At postoperative first day, passive motion to 30˚ flexion is suggested and than it can be increased as tolerated.…”

Section: Discussionmentioning

confidence: 99%

“…Over the previous decades, various surgical treatment methods were successfully developed, including open reduction and stable fixation [9]. Mitchell and Shepard point out precise intra-articular reduction and stable fixation of the fragments [10], while incorrect reduction and instability can cause rapid degeneration of the articular cartilage.…”

Section: Introductionmentioning

confidence: 99%

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Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures

Arslan¹,

Polat²,

Ciliz³

et al. 2015

OJO

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The purpose of this study was to evaluate factors that affect initiation of early postoperative range of motion (ROM) rehabilitation and to investigate whether the postoperative ROM and clinical outcomes were affected by initiation of early ROM, immobilization and other factors. We conducted a retrospective analysis of tibial plateau fractures treated using stable internal fixation between December 2003 and June 2007. The resulting degree of flexion and Rasmussen Clinical and Radiographic Scores were evaluated. Thirty-nine patients were included, and 23 patients underwent a lateral submeniscal arthrotomy for evaluation of joint surface reduction, with 6 lateral meniscus lesions identified via arthrotomy. Three lateral collateral ligament lesions, 3 medial collateral ligament lesions and 1 anterior cruciate ligament lesion were found. Meniscus and ligament lesions significantly and negatively affected the initiation of knee joint ROM. Early ROM was achieved in 26 cases and 13 patients underwent immobilization for 4 weeks. At the final evaluation, the early ROM group had 130.42˚ ± 5.50˚ of flexion, compared with 122.92˚ ± 5.28˚ in the immobilization group. Moreover, the final Rasmussen score was 25.69 ± 2.92 in the early motion group, compared with 22.61 ± 3.5 in the immobilization group. There was no difference between radiographic scores of the groups. Although the initiation of early ROM improved the clinical results, soft tissue lesions influenced initiation of early knee joint motion. Therefore, meniscus and ligament injuries should be considered as prognostic factors in similar cases.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures

Arslan¹,

Polat²,

Ciliz³

et al. 2015

OJO

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“…Rademakers et al performed examinations at one year and an average of 14 years after operated TPF and concluded that the one year FU adequately predicts long-term results. [8] However, these studies did not address longitudinal changes in radiological OA in individual patients. A longer FU may provide more information about the development of OA after TPF.…”

Section: Introductionmentioning

confidence: 99%

Radiographic and clinical results after surgically treated tibial plateau fractures at three and twenty two years postsurgery

Mattiassich¹,

Scheurecker³

et al. 2013

International Orthopaedics (SICOT)

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Purpose We examined the development of osteoarthritis (OA) and post-traumatic bone loss after surgery for tibial plateau fractures (TPF). Methods Patients who had participated in previous follow-up (FU) examinations after TPF and primary reduction and internal fixation were re-evaluated. At the first FU, a median of three years after the accident (short-term FU), the patients underwent functional assessments and standardised X-rays to grade radiological OA and post-traumatic bone loss. At the second FU, a median of 22 years after the accident (long-term FU), 30 patients were available. An identical protocol was applied, and additional investigations [Knee Injury and Osteoarthritis Outcome Score (KOOS) and magnetic resonance imaging (MRI) of the injured knee] were performed. Results When the subjective and objective results at first FU were compared with those of the second FU for the same patients, deterioration of symptoms, signs and radiological OA was noted; however, ten patients had no OA even after the long-term FU. Some patients developed post-traumatic bone loss. In 13 of 31 knees, there was little or no radiological evidence of bone loss at the second FU. Conclusions The short-term FU examination results after TPF have little prognostic value for the individual patient, as good results may deteriorate over the long run; however, there were some knees with no OA at the long-term FU. This is the first report focusing on post-traumatic bone loss after TPF.

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Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

et al. 2019

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Operative Treatment of 109 Tibial Plateau Fractures: Five- to 27-Year Follow-up Results

Abstract: Long-term results after open reduction and internal fixation for tibial plateau fractures are excellent, independent of the patient's age.

Cited by 273 publications

References 32 publications

Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures

Immediate Knee Joint Range of Motion after Stable Fixation of Tibial Plateau Fractures

Radiographic and clinical results after surgically treated tibial plateau fractures at three and twenty two years postsurgery

Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

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