Factors affecting outcome in tibial plafond fractures

Clinical Orthopaedics and Related Research
Todd M WilliamsJ L Marsh

Abstract

To determine what fracture- and patient-specific variables affect outcome, 29 patients with 32 tibial plafond fractures were evaluated at a minimum of 2 years from the time of injury (range, 24-129 months; average, 46.5 months). The rank order method was used to assess severity of injury and accuracy of articular reduction on radiographs and agreement among the five surgeons was excellent with intraclass correlation coefficients of 0.93 and 0.94. Outcome was assessed by four independent measures: a radiographic arthrosis score, a subjective ankle score, the Short Form-36 (SF-36), and the patient's ability to return to work. The four outcome measures did not correlate with each other. Radiographic arthrosis was predicted best by severity of injury and accuracy of reduction. However, these variables did not show any significant relationship to the clinical ankle score, the SF-36, or return to work. These outcome measures were more influenced by patient-specific socioeconomic factors. Higher ankle scores were seen in patients with college degrees and lower scores were seen in patients with a work-related injury. The ability to return to work was affected by the patient's level of education. This study highlights the difficulties o...Continue Reading

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Citations

Mar 11, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Donald D AndersonJ Lawrence Marsh
Sep 17, 2009·Journal of Orthopaedic Surgery and Research·Elias S VasiliadisGeorgios Triantafyllopoulos
Jul 27, 2010·Journal of Orthopaedic Trauma·J Lawrence MarshThomas Brown
Oct 22, 2018·Current Reviews in Musculoskeletal Medicine·Jessica BearDavid Helfet
Jan 12, 2007·The Journal of Trauma·Jukka RistiniemiPekka Jalovaara
Dec 24, 2008·Journal of Orthopaedic Trauma·Monika HorisbergerBeat Hintermann
Dec 13, 2006·The Journal of Trauma·Douglas R Dirschl, Scott T Ferry
Feb 28, 2019·Clinical Orthopaedics and Related Research·Michael QuacinellaKevin M Kuhn
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·David P BareiStephen K Benirschke
Jun 20, 2018·Journal of Orthopaedic Trauma·Abdel-Salam A AhmedHossam A El Bigawi
Oct 8, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Brett D CristGregory J Della Rocca
Dec 18, 2013·Journal of Orthopaedic Trauma·Jonathan G EastmanRobert P Dunbar
Nov 16, 2010·Journal of Orthopaedic Trauma·Thaddeus P ThomasThomas D Brown
May 21, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Justin M HallerDaphne Beingessner
Feb 6, 2021·Foot and Ankle Clinics·Christian Bastias, Leonardo Lagos

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