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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 2/2016

01-04-2016 | Original Article

The outcome after lateral tibial plateau fracture treated with percutaneus screw fixation show a tendency towards worse functional outcome compared with a reference population

Authors: R. Elsoe, P. Larsen, N. Shekhrajka, L. Ferreira, S. E. Ostgaard, S. Rasmussen

Published in: European Journal of Trauma and Emergency Surgery | Issue 2/2016

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Abstract

Purpose

The objective of this study was to evaluate the functional and radiological outcome after lateral tibial plateau fractures (Müller AO classification (AO) 41-B1, B2 and B3) treated with minimal invasive bone tamp reduction and percutaneous screw fixation.

Methods

Retrospective, cross-sectional study. Review and clinical examination of 37 patients treated between 2005 and 2010. The patients completed a clinical examination, Knee Injury and Osteoarthritis Outcome Score (KOOS) and questionnaire evaluating QOL (Eq5D-5L).

Results

Thirty-seven patients agreed to participate (76 %). Mean time of follow-up was 5.2 years. At final follow-up, maintained anatomical joint reduction was achieved in 34 patients. The mean KOOS score was pain = 84.4, ADL = 88.4, symptoms = 80.7, QOL = 70.3, sport = 59.6. Compared with the established KOOS reference population patients, the current study reports a tendency towards worse KOOS scores but is only significant for KOOS sport. The mean Eq5D-5L index was 0.815 and shows a tendency towards worse outcome compared with the reference population. Mean knee flexion: 125.7° (95–135). A reduced number of sit-to-stands in the mean 30-s chair stand test showed a significant negative association with KOOS. The study showed a significant association between younger age at surgery and worse KOOS outcome.

Conclusion

At 5.2-year follow-up, the patients reported a tendency towards worse KOOS and Eq5D-5L scores compared with established reference populations. This study shows a significant association between a decrease in muscle strength and worse KOOS outcome. Furthermore, a significant association between younger age at the time of surgery and worse KOOS outcome score was observed.
Literature
1.
Jansen H, Frey SP, Doht S, et al. Medium-term results after complex intra-articular fractures of the tibial plateau. J Orthop Sci. 2013;18:569–77.CrossRefPubMed
2.
Sament R, Mayanger JC, Tripathy SK, Sen RK, et al. Closed reduction and percutaneous screw fixation for tibial plateau fractures. J Orthop Surg (Hong Kong). 2012;20:37–41.
3.
Manidakis N, Dosani A, Dimitriou R, et al. Tibial plateau fractures: functional outcome and incidence of osteoarthritis in 125 cases. Int Orthop. 2010;34:565–70.CrossRefPubMedPubMedCentral
4.
Blokker CP, Rorabeck CH, Bourne RB. Tibial plateau fractures. An analysis of the results of treatment in 60 patients. Clin Orthop Relat Res. 1984;182:193–9.PubMed
5.
Ebraheim NA, Sabry FF, Haman SP. Open reduction and internal fixation of 117 tibial plateau fractures. Orthopedics. 2004;27:1281–7.PubMed
6.
7.
Ali AM, Burton M, Hashmi M, Saleh M. Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system. J Bone Joint Surg Br. 2003;85:691–9.PubMed
8.
Ramos T, Ekholm C, Eriksson BI et al., The Ilizarov external fixator—a useful alternative for the treatment of proximal tibial fractures. A prospective observational study of 30 consecutive patients. BMC Musculoskelet Disord. 2013; 14:11. doi:10.​1186/​1471-2474-14-30.
9.
Koval KJ, Sanders R, Borrelli J, et al. Indirect reduction and percutaneous screw fixation of displaced tibial plateau fractures. J Orthop Trauma. 1992;6:340–6.CrossRefPubMed
10.
Houben PF, van der Linden ES, van den Wildenberg FA, Stapert JW. Functional and radiological outcome after intra-articular tibial plateau fractures. Injury. 1997;28:459–62.CrossRefPubMed
11.
Berkes MB, Little MT, Schottel PC, et al. Outcomes of Schatzker II tibial plateau fracture open reduction internal fixation using structural bone grafts. J Orthop Trauma. 2013;28:97–102.CrossRef
12.
Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium—2007: Orthopaedic Trauma Association Classification, Database and Outcome Committee. J Orthop Trauma. 2007;21:1–133.CrossRef
13.
14.
15.
Rasmussen PS. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment. J Bone Joint Surg Am. 1973;55:1331–50.PubMed
16.
Perruccio AV, Stefan Lohmander L, Canizares M, et al. The development of a short measure of physical function for knee OA KOOS-physical function shortform (KOOS-PS)—an OARSI/OMERACT initiative. Osteoarthr Cartil. 2008;16:542–50.CrossRefPubMed
17.
Roos EM, Roos HP, Lohmander LS, et al. Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28:88–96.CrossRefPubMed
18.
Roos EM, Roos HP, Ekdahl C, Lohmander LS. Knee Injury and Osteoarthritis Outcome Score (KOOS)—validation of a Swedish version. Scand J Med Sci Sports. 1998;8:439–48.CrossRefPubMed
19.
Roos EM, Lohmander LS. The Knee Injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual Life Outcomes. 2003;1:64.CrossRefPubMedPubMedCentral
20.
Paradowski PT, Bergman S, Sunden-Lundius A, et al. Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee Injury and Osteoarthritis Outcome Score (KOOS). BMC Musculoskelet Disord. 2006;7:38.CrossRefPubMedPubMedCentral
21.
22.
Rikli RE, Jones CJ. Development and validity of functional fitness test for community-residing older adults. J Aging Phys Act. 1999;7:127–59.
23.
Parmar V, Shyam Kumar AJ, Harper WM. Reliability of the GAITRite walkway system for the quantification of temporo-spatial parameters of gait in young and older people. Gait Posture. 2006;23:523 (author reply 524–5).CrossRefPubMed
24.
Kuys SS, Brauer SG, Ada L. Test-retest reliability of the GAITRite system in people with stroke undergoing rehabilitation. Disabil Rehabil. 2011;33:1848–53.CrossRefPubMed
25.
McDonough AL, Batavia M, Chen FC, et al. The validity and reliability of the GAITRite system’s measurements: a preliminary evaluation. Arch Phys Med Rehabil. 2001;82:419–25.CrossRefPubMed
26.
Sorensen J, Davidsen M, Gudex C, et al. Danish EQ-5D population norms. Scand J Public Health. 2009;37:467–74.CrossRefPubMed
27.
Honkonen SE. Degenerative arthritis after tibial plateau fractures. J Orthop Trauma. 1995;9:273–7.CrossRefPubMed
28.
DeCoster TA, Nepola JV, el-Khoury GY. Cast brace treatment of proximal tibia fractures. A ten-year follow-up study. Clin Orthop Relat Res. 1988;231:196–204.PubMed
29.
Jensen DB, Rude C, Duus B, Bjerg-Nielsen A. Tibial plateau fractures. A comparison of conservative and surgical treatment. J Bone Joint Surg Br. 1990;72:49–52.PubMed
30.
Rademakers MV, Kerkhoffs GM, Sierevelt IN, et al. Operative treatment of 109 tibial plateau fractures: five- to 27-year follow-up results. J Orthop Trauma. 2007;21:5–10.CrossRefPubMed
31.
Goff T, Kanakaris NK, Giannoudis PV. Use of bone graft substitutes in the management of tibial plateau fractures. Injury. 2013;44(Suppl 1):S86–94.CrossRefPubMed
32.
Ong JC, Kennedy MT, Mitra A, Harty JA. Fixation of tibial plateau fractures with synthetic bone graft versus natural bone graft: a comparison study. Ir J Med Sci. 2012;181:247–52.CrossRefPubMed
33.
Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70:113–9.CrossRefPubMed
34.
Larsen P, Lund H, Laesoe U, et al. Restrictions in quality of life after intramedullary nailing of tibial shaft fracture. A retrospective follow-up study of 223 cases. J Orthop Trauma. 2013; accepted 18-10-13.
Metadata
Title
The outcome after lateral tibial plateau fracture treated with percutaneus screw fixation show a tendency towards worse functional outcome compared with a reference population
Authors
R. Elsoe
P. Larsen
N. Shekhrajka
L. Ferreira
S. E. Ostgaard
S. Rasmussen
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 2/2016
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-015-0497-9

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