Outcomes of knee replacement in patients with posttraumatic arthritis due to previous tibial plateau fracture

Pinter, Zachariah; Jha, Aaradhana J.; McGee, Andrew; Paul, Kyle D; Lee, Sung; Dombrowsky, Alex; Naranje, Sameer; Shah, Ashish

doi:10.1007/s00590-019-02575-4

Cited by 9 publications

(8 citation statements)

References 13 publications

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“…This is the first Cumulative hazard ratio (nonop./control) Years from fracture patients the incidence was significantly higher in women, as also previously reported (2)(3)(4). While many studies have reported on the risk of TKRS after a tibial plateau or PTF, most are limited by the small size of the study population (8)(9)(10)(11)14,15). Elsoe et al (3) reported a 3.5-fold risk of TKRS after PTF in a sample where 5.7% of patients subsequently underwent TKRS.…”

Section: Advantages and Limitations Of The Studysupporting

confidence: 76%

“…While many studies have reported on the risk of TKRS after a tibial plateau or PTF, most are limited by the small size of the study population ( 8 - 11 , 14 , 15 ). Elsoe et al ( 3 ) reported a 3.5-fold risk of TKRS after PTF in a sample where 5.7% of patients subsequently underwent TKRS.…”

Section: Discussionmentioning

confidence: 99%

“…However, they studied only patients with tibial plateau fractures treated with ORIF, which explains the difference in rates between their study and ours. On the other hand, lower rates (2.1%) of TKRS after ORIF treatment have also been reported ( 11 ). In our study, the risk of TKRS is in line with that reported by Elsoe et al, who also included patients with nonoperative treatment.…”

Section: Discussionmentioning

confidence: 99%

“…However, the reported rates of total knee replacement as secondary treatment (TKRS) after PTF are relatively low. Severe OA leading to TKRS typically develops in 2.2-7.5% of operatively treated patients after a median of 2 to 5 years post-trauma (8)(9)(10)(11). In comparison with a normal population, these patients are at a 3.5-to 5.3-fold higher risk of end-stage post-traumatic OA requiring TKRS (8,9).…”

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confidence: 99%

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Risk of total knee replacement after proximal tibia fracture: a register-based study of 7,841 patients

Tapper

Pamilo

Haapakoski

et al. 2022

ActaO

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Background and purpose — Post-traumatic knee osteoarthritis following proximal tibia fracture (PTF) is a common complication that may lead to total knee replacement as secondary treatment (TKRS). We determined the risk of TKRS following PTF, whether treated nonoperatively or operatively, and compared the results with a 38-fold control group without prior PTF. Patients and methods — We identified all patients over 18 years of age in Finland with PTF treated during the period 2009–2018 from the Finnish Hospital Discharge Register (FHDR) and Finnish Arthroplasty Register (FAR). Age, sex, treatment method, follow-up time, and possible TKRS were recorded. Results — 7,701 patients were treated for PTF during the period 2009–2018. Over the 5.1-year (SD 3.1) follow-up, TKRS was performed in 340 (4.3%) patients with a prior PTF after a mean of 2.1 (SD 2.0) years post-fracture. TKRS was needed in 138 (3.7%, HR 1.8) patients in the nonoperatively treated group and in 202 (5.0%, HR 3.2) patients in the operatively treated group. Operative treatment, female sex, and high age were identified as risk factors for TKRS. The incidence of TKRS was highest during the first 2 years after fracture and remained elevated throughout the follow-up. Interpretation — Patients with a prior PTF had a 1.8- to 3.2-fold higher risk of TKRS compared with controls during the first 5 years post-fracture. Risk of TKRS was associated with an operatively treated PTF, female sex, and high age. The patients in the operative group likely sustained more complex fractures, while female sex and age may be explained by more osteoporotic bone quality.

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Section: Advantages and Limitations Of The Studysupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Risk of total knee replacement after proximal tibia fracture: a register-based study of 7,841 patients

Tapper

Pamilo

Haapakoski

et al. 2022

ActaO

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show abstract

“…Scott et al found conversion to TKA amongst tibial plateau fracture patients to be 4.7% within five years. However, other researchers have found that conversion TKA is a relatively uncommon procedure following ORIF of tibial plateau fracture [ 18 - 19 ]. Pinter et al found that conversion to TKA following a tibial plateau fracture occurs in only 2.15% of patients [ 18 ].…”

Section: Discussionmentioning

confidence: 99%