Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures

The Journal of Knee Surgery
Anthony V ChristianoKenneth A Egol

Abstract

The purpose of this study is to determine when functional outcome no longer improves following tibial plateau fracture. A patient series of operatively treated tibial plateau fractures was reviewed. Patients were evaluated using the short musculoskeletal function assessment (SMFA), range of motion (ROM) assessment, and pain levels at visual analog scale (VAS) at 3, 6, and 12 months postoperatively. Fractures were classified by the Schatzker's classification using preoperative imaging. The case series was divided into two groups based on fracture patterns. Friedman's tests were conducted to determine if there were differences in SMFA, ROM, or VAS throughout the postoperative course. A total of 117 patients with tibial plateau fractures treated operatively, with complete follow-up and without complication, were identified. Seventy-seven patients (65.8%) sustained lateral tibial plateau fractures (Schatzker's I-III). Friedman's test demonstrated significant differences in SMFA (p < 0.0005) and ROM (p < 0.0005) at the three time points. Post hoc analysis demonstrated a significant difference in SMFA (p < 0.0005) and ROM (p = 0.003) between 3 and 6 months postoperatively but no significant difference in either metric between 6 and 1...Continue Reading

Citations

Jul 28, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Lena AlmKarl-Heinz Frosch
Nov 6, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Matthias KrauseUNKNOWN “Fracture committee” of the German Knee Society

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