The Long-Term Functional Outcome of Operatively Treated Tibial Plateau Fractures

Stevens, D.G.; Beharry, Rani; McKee, Michael D.; Waddell, James P.; Schemitsch, Emil H.

doi:10.1097/00005131-200106000-00002

Cited by 219 publications

(84 citation statements)

References 12 publications

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“…One was a randomised controlled trial (RCT)[11], 7 were prospective cohort studies[14,16,25,26,28,30,32], 16 were retrospective cohort studies[12,13,15,17,18,20-24,27,29,34-37] and 3 were case series[19,31,33]. …”

Section: Resultsmentioning

confidence: 99%

“…Ninety-nine of the fractures were open injuries[11,12,17,20-23]. Two patients had bilateral tibial plateau fractures[22].…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-six of the twenty-seven studies used formal fracture classifications to describe the fracture types[11-17,19-37]. Six studies used the Schzakter Classification alone to define fracture pattern[17,20,27-29,32].…”

Section: Resultsmentioning

confidence: 99%

“…Six studies used the Schzakter Classification alone to define fracture pattern[17,20,27-29,32]. Five studies used the AO/OTA classification alone[13,22,30,35,37].…”

Section: Resultsmentioning

confidence: 99%

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Return to sport following tibial plateau fractures: A systematic review

Robertson¹,

Wong²,

Wood³

2017

WJO

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AIMTo systemically review all studies reporting return to sport following tibial plateau fracture, in order to provide information on return rates and times to sport, and to assess variations in sporting outcome for different treatment methods.METHODSA systematic search of CINAHAL, Cochrane, EMBASE, Google Scholar, MEDLINE, PEDro, Scopus, SPORTDiscus and Web of Science was performed in January 2017 using the keywords “tibial”, “plateau”, “fractures”, “knee”, “athletes”, “sports”, “non-operative”, “conservative”, “operative”, “return to sport”. All studies which recorded return rates and times to sport following tibial plateau fractures were included.RESULTSTwenty-seven studies were included: 1 was a randomised controlled trial, 7 were prospective cohort studies, 16 were retrospective cohort studies, 3 were case series. One study reported on the outcome of conservative management (n = 3); 27 reported on the outcome of surgical management (n = 917). Nine studies reported on Open Reduction Internal Fixation (ORIF) (n = 193), 11 on Arthroscopic-Assisted Reduction Internal Fixation (ARIF) (n = 253) and 7 on Frame-Assisted Fixation (FRAME) (n = 262). All studies recorded “return to sport” rates. Only one study recorded a “return to sport” time. The return rate to sport for the total cohort was 70%. For the conservatively-managed fractures, the return rate was 100%. For the surgically-managed fractures, the return rate was 70%. For fractures managed with ORIF, the return rate was 60%. For fractures managed with ARIF, the return rate was 83%. For fractures managed with FRAME was 52%. The return rate for ARIF was found to be significantly greater than that for ORIF (OR 3.22, 95%CI: 2.09-4.97, P < 0.001) and for FRAME (OR 4.33, 95%CI: 2.89-6.50, P < 0.001). No difference was found between the return rates for ORIF and FRAME (OR 1.35, 95%CI: 0.92-1.96, P = 0.122). The recorded return time was 6.9 mo (median), from a study reporting on ORIF.CONCLUSIONReturn rates to sport for tibial plateau fractures remain limited compared to other fractures. ARIF provides the best return rates. There is limited data regarding return times to sport. Further research is required to determine return times to sport, and to improve return rates to sport, through treatment and rehabilitation optimisation.

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Section: Resultsmentioning

confidence: 99%

“…Ninety-nine of the fractures were open injuries[11,12,17,20-23]. Two patients had bilateral tibial plateau fractures[22].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Six studies used the Schzakter Classification alone to define fracture pattern[17,20,27-29,32]. Five studies used the AO/OTA classification alone[13,22,30,35,37].…”

Section: Resultsmentioning

confidence: 99%

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Return to sport following tibial plateau fractures: A systematic review

Robertson¹,

Wong²,

Wood³

2017

WJO

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“…These three consequences of trauma lead to the development of osteoarthritis. 7 Following a tibial plateau fracture, the incidence of arthritis is higher 8,9 than with distal femoral fracture. 5,10 Literature reports show poorer results with TKA in post-traumatic arthritis than with primary arthritis.…”

Section: Discussionmentioning

confidence: 99%

Knee replacement in chronic post-traumatic cases

et al. 2016

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Post-traumatic knee arthritis is a challenging condition. Prosthetic surgery is demanding and the risk of complications is relatively high.Planning is an essential element of this surgery; correct diagnosis (to exclude latent infection) and adequate considerations regarding approach, axis, bone loss, choice of implant and level of constraint are indispensable.There are two main categories of post-traumatic arthritis: extra-articular deformities and articular deformities.Use of an algorithms can support the surgeon’s choice of implant.Correct implant positioning and limb alignment restoration is associated with very good results, similar to those achieved with standard total knee arthroplasty.Cite this article: Benazzo F, Rossi SMP, Combi A, Meena S, Ghiara M. Knee replacement in chronic post-traumatic cases. EFORT Open Rev 2016:1:211-218. DOI: 10.1302/2058-5241.1.000025.

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