Injury severity assessment in tibial plateau fractures

Clinical Orthopaedics and Related Research
Douglas R Dirschl, Patrick A Dawson

Abstract

Assessment of injury severity is an integral component of the care of the patient with a fracture of the tibial plateau. Devising ways to reliably quantify injury severity, and to make predictive links between injury severity and outcome, however, has been difficult. Assessment of patient-related factors, such as age, functional capabilities, and medical comorbidities, are necessarily subjective, but certain of these factors clearly shape the treatment plan for a patient with a tibial plateau fracture. Clinical examination findings, such as extent of soft tissue injury and mediolateral stability of the knee, also play an important role in determining treatment and predicting outcome. Radiographic classification of tibial plateau fractures also is an important determinant of treatment, but current classification systems have suffered from disappointing interobserver reliability. Although the severity of injury to the articular cartilage almost certainly affects outcome, there currently are no validated modalities to measure this important factor. More carefully validated tools are needed in many of these areas if we are to perfect our understanding of injury severity and establish more accurate correlations between injury severi...Continue Reading

References

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Citations

Jan 17, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ozgur CetikMehmet Asik
Apr 27, 2012·Journal of Orthopaedic Surgery·Hasnain RazaKamran Hafeez
Oct 23, 2012·Strategies in Trauma and Limb Reconstruction·C Dall'ocaP Bartolozzi
Nov 4, 2008·Journal of Orthopaedic Trauma·Stefan EggliChristoph Röder
Mar 4, 2008·Arthritis and Rheumatism·Benjamin D WardSteven A Olson
Jan 21, 2006·Journal of Orthopaedic Trauma·Douglas R Dirschl
Jun 30, 2012·Clinical Orthopaedics and Related Research·David W Zeltser, Seth S Leopold
Jan 24, 2014·Acta ortopedica brasileira·Rodrigo Pires E AlbuquerqueNey Pecegueiro do Amaral
Nov 5, 2020·Acta ortopedica brasileira·Jonatas Brito DE AlencarFrancisco JosÉ Maia Pinto

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