Journal 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
European journal of trauma and emergency surgery (Munich : 2007), Vol.42(2), pp.177-184
04/01/2016
DOI: 10.1007/s00068-015-0497-9
PMID: 26038018
Abstract
The objective of this study was to evaluate the functional and radiological outcome after lateral tibial plateau fractures (Muller AO classification (AO) 41-B1, B2 and B3) treated with minimal invasive bone tamp reduction and percutaneous screw fixation.
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).
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: 125.7A degrees (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.
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.
Details
- Title: Subtitle
- The outcome after lateral tibial plateau fracture treated with percutaneus screw fixation show a tendency towards worse functional outcome compared with a reference population
- Creators
- R. Elsoe - Aalborg UniversityP. Larsen - Aalborg University HospitalN. Shekhrajka - Aalborg University HospitalL. Ferreira - Aalborg University HospitalS. E. Ostgaard - Aalborg UniversityS. Rasmussen - Aalborg University Hospital
- Resource Type
- Journal article
- Publication Details
- European journal of trauma and emergency surgery (Munich : 2007), Vol.42(2), pp.177-184
- Publisher
- Springer Nature
- DOI
- 10.1007/s00068-015-0497-9
- PMID
- 26038018
- ISSN
- 1863-9933
- eISSN
- 1863-9941
- Number of pages
- 8
- Grant note
- Department of Occupational and Physiotherapy Aalborg University Hospital, Denmark Department of Orthopaedic surgery
- Language
- English
- Date published
- 04/01/2016
- Academic Unit
- Radiology
- Record Identifier
- 9984697628902771
Metrics
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