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International Orthopaedics

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01-04-2021 | Knee Osteoarthritis | Original Paper

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

Authors: Sasa Milenkovic, Milan Mitkovic, Milorad Mitkovic, Predrag Stojiljkovic, Mladen Stojanovic

Published in: International Orthopaedics | Issue 4/2021

Abstract

Purpose

Tibial plateau fractures are severe intra-articular injuries; their treatment is accompanied by numerous complications and requires extensive surgical experience. In this manuscript, we compared our experiences with data from the literature.

Methods

Retrospectively, we analyzed 41 patients with closed lateral tibial plateau fracture (Schatzker’s I–III). All fractures were treated surgically with open reduction and internal plate fixation. Post-operative complications and final outcomes were monitored according to the Tegner Lysholm Knee Scoring System. The average follow-up was 5.7 years (2–10).

Results

We analyzed 41 patients (Schatzker I–III), average age 46.7 ± 13.0 years. Traumatic lesion of the lateral meniscus was present in 15 (36.58%) patients. Post-traumatic knee osteoarthritis was present in all (100%) patients after lateral meniscectomy and in 20% of patients it occurred after meniscus repair (p = 0.007). Post-traumatic knee osteoarthritis was present in 12 (29.68%) patients. Infection occurred in five (12.19%) patients, DVT in three (7.3%) patients, and we had one (2.43%) case of non-lethal PE. Final functional outcomes were excellent in 13 (31.7%), good in 21 (51.21%), moderate in five (12.19%), and poor in two (4.87%) patients.

Conclusion

Lateral tibial plateau fractures are severe intra-articular injuries which can leave lasting consequences, regardless of the restoring of the articular surface and stable internal fixation. Local skin condition and associated soft tissue injuries, comminution, degree of dislocation, and depression can significantly affect the development of post-traumatic osteoarthritis and poor outcomes.

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Title: Lateral tibial plateau fractures—functional outcomes and complications after open reduction and internal fixation
Authors: Sasa Milenkovic
Milan Mitkovic
Milorad Mitkovic
Predrag Stojiljkovic
Mladen Stojanovic
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Knee Osteoarthritis
Osteoarthrosis
Osteoarthrosis
Tibial Plateau Fracture
Knee Osteoarthritis
Published in: International Orthopaedics / Issue 4/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04763-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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