Tibial Plateau Fractures

Kfuri, Maurício; Fogagnolo, Fabrício; Bitar, Rogério Carneiro; Freitas, Ricardo Miguel Costa de; Salim, Rodrigo; Paccola, Cleber Antônio Jansen

doi:10.1016/s2255-4971(15)30142-7

Cited by 20 publications

(20 citation statements)

References 20 publications

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“…These states progress gradually to full weight bearing after the above-mentioned periods of time. 2 , 9 – 11 , 19 , 24 – 27 Other authors use the radiographic union as a marker to progress to full weight bearing. 6 , 10 , 18 , 28 – 30 Most frequently, a variety of partial weight-bearing protocols for 4–6 weeks is preferred by the surgeons.…”

Section: Discussionmentioning

confidence: 99%

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Physiotherapy after tibial plateau fracture fixation: A systematic review of the literature

Iliopoulos¹,

Galanis

2020

SAGE Open Medicine

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Background: Tibial plateau fractures are frequent injuries that orthopaedic surgeons face. It has been reported that they have a significant negative impact on the patients’ lives, decreasing their quality of live, keeping them of work for long periods of time and reducing their activity levels. Aim: Interestingly, there is not enough focus in the literature about the post-operative rehabilitation of these patients. The aim of the present review is to investigate this field of the literature and try to give answers in four main questions: the range of motion exercises post-surgery, the immobilisation, the weight-bearing status and the ongoing rehabilitation. Materials and Methods: A literature search was conducted using the PubMed and the Google Scholar search engines. A total of 39 articles met the criteria to be included in the study. Results: The literature about this subject is scarce and controversial. Early range of motion exercises should be encouraged as soon as possible after the procedure. The immobilisation after plate fixation does not seem to be correlated with any benefits to the patients. The weight-bearing status of the patients was the most controversial in the literature with the early weight-bearing gaining ground at the most recent studies. Tibia plateau fractures can have significant impact on the patients’ lives, so ongoing rehabilitation with focus on quadriceps strengthening and proprioception exercises is recommended. Conclusion: The present literature review illuminates the controversy that exists in the literature about the physiotherapy following tibia plateau fracture fixation. Early range of motion exercises and early weight bearing should be encouraged. Immobilisation does not seem to provide any benefit. Ongoing rehabilitation should be considered with the view of better clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

“…The fragility of the bone due to osteoporosis, despite the low forces sustained during trauma, is the main causative factor for the older group of patients. 2 , 3 …”

Section: Introductionmentioning

confidence: 99%

Physiotherapy after tibial plateau fracture fixation: A systematic review of the literature

Iliopoulos¹,

Galanis

2020

SAGE Open Medicine

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“… Radiographic views for diagnosing tibial plateau fractures: (A) anteroposterior; (B) lateral; (C) internal oblique; (D) external oblique. 1 …”

Section: Figmentioning

confidence: 99%

“…They result from axial compressive forces that may or may not be combined with varus or valgus stress on the knee joint. 1 These fractures account for around 1.3% of all fractures and are more common among male patients. This type of injury mainly affects young or middle-aged patients who are subjected to high-energy trauma, and elderly people who are exposed to low-energy trauma.…”

Section: Introductionmentioning

confidence: 99%

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Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau

Lopes¹,

Filho²,

Silva³

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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ObjectivesTo evaluate the concordance among knee surgery specialists regarding the classification and surgical technique indicated in cases of tibial plateau fracture, using conventional radiographs and computed tomography.MethodsForty-four patients with fractures of the tibial plateau shown on radiographic and tomographic images were selected. These were evaluated by specialists at two different times, with an interval of seven days. On the first occasion, the specialists only had access to the radiographs, while on the second occasion they had access to both radiographs and computed tomography images. Their concordance was evaluated by means of the kappa coefficient.ResultsThe interobserver reliability of the Schatzker classification on the first occasion was 0.36 and on the second occasion, 0.35. This was considered to present low reproducibility. In evaluating the intra-observer reproducibility of this classification, the mean kappa index was 0.42, which was classified as moderate. From evaluating the choice of surgical access, the inter-observer reliability was 0.55 on the first occasion and 0.50 on the second, which was considered to present moderate reproducibility. Evaluation on the implant chosen showed that the interobserver reliability was 0.01 on the first occasion and −0.06 on the second, which was considered to be poor and discordant. In evaluating the classification of the three columns, the inter-observer reproducibility was 0.47 (p < 0.0001), which was classified as moderate concordance.ConclusionUse of computed tomography did not present any improvement in the inter-observer concordance, using the Schatzker classification, and did not produce any change in the preoperative planning.

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Lateral tibial plateau fractures—functional outcomes and complications after open reduction and internal fixation

Milenković

Mitković

et al. 2020

International Orthopaedics (SICOT)

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Tibial Plateau Fractures

Cited by 20 publications

References 20 publications

Physiotherapy after tibial plateau fracture fixation: A systematic review of the literature

Physiotherapy after tibial plateau fracture fixation: A systematic review of the literature

Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau

Lateral tibial plateau fractures—functional outcomes and complications after open reduction and internal fixation

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