Mid-Term Outcomes after Surgical Treatment of Fractures around Tibial Plateau

  • Rūdolfs Vētra (Speaker)
  • Arnis Birze (Co-author)
  • Jakušonoka, R. (Co-author)

Activity: Talk or presentation types › Poster presentation

Description

Fractures around the tibial plateau affect one of the most critical load-bearing areas of the human body, therefore diagnostics and preoperative planning according to modern concepts are crucial for the long-term outcome of this fracture type. The objective of the study was to evaluate the surgical treatment outcomes of patients with tibial plateau fractures.. A retrospective study of 108 patients with proximal tibial fractures, admitted to the Hospital of Traumatology and Orthopaedics from 2018 to 2021, was conducted. In the study, 88 patients (81.5%) with surgically treated fractures were included. Radiographs and computed tomography scans were evaluated and fractures were classified according to AO/OTA classification. The first group (group A) included patients with type A and B fractures; the second group (group B) - had type C fractures. The surgical approaches and fixation types were evaluated. For functional outcome evaluation, Lower Extremity Functional Scale (LEFS) was used. . Fifty-five patients underwent plate, 19 – plate and screw fixation, from those only one surgery had arthroscopic assistance; 14 – screw fixation and 11 of those operations had arthroscopic control. Functional outcome was evaluated in 45 patients (51.1%) 11 – 43 months after surgery. Group A (25 patients, mean age 51.8 years) had a mean LEFS score of 57.46 SD +/- 3.1 and group B (20 patients, mean age 56.2 years) had a mean LEFS score of 48,1 SD +/- 3,57, p = 0.054.. There are no statistically significant differences between mid-term outcomes in patients with articular fractures compared to patients who have had extra-articular or partial articular tibial plateau fractures. Further research is required.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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