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. 2021 Aug 15;11(4):321-327.
eCollection 2021.

Tibial plateau fractures-Does non anatomic reduction lead to an adverse outcome? A 10-year follow-up

Najmul Huda  1 , Mir Shahid Ul Islam  1 , Altaf Hussain  1 , Sandeep Bishnoi  1 , Ravi Dholariya  1 , Aijaz Ahmad Ganai  1
Affiliations

Tibial plateau fractures-Does non anatomic reduction lead to an adverse outcome? A 10-year follow-up

Najmul Huda et al. Int J Burns Trauma. .

Abstract

Purpose: Assess the effect of residual intra-articular step and limb alignment on the outcomes of operated tibial plateau fractures.

Methods: After retrospectively enrolling 123 cases of operated tibial plateau fracture whole limb weight bearing X-rays of both knees and computed tomography scan was done to record the presence of knee osteoarthritis (OA), alignment and articular step. The Rasmussen functional score (RFS) and Visual Analogue scale (VAS) score was calculated. Depending on the articular step there were four groups, group A (no step), group B (<2 mm), group C (2 mm-5 mm) and group D (6 mm-10 mm). The patients were also divided into 3 groups based on knee alignment, group 1 (0-10° valgus angle), group 2 (varus angle upto 5°) and group 3 (varus angle of 5-15°).

Results: Group A had 53, group B 31, group C 23 and group D 16 cases. The mean follow up was 10.23 years. The difference in the RFS/VAS score and OA rate amongst the 4 groups based on articular step had a P>0.05. Based on knee alignment RFS and OA rate amongst three groups had a P<0.05 with better results in group 1.

Conclusions: Mal-alignment is a more important predictor of outcome in operated tibial plateau fractures than articular step.

Keywords: Tibial plateau fractures; X rays; fixation.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
AB is a line the drawn tangential to the articular surface of both the femoral condyles. Another line CD is drawn parallel to AB passing through a normal tibial condyle. EF is the perpendicular drawn from CD to the deepest part of the step. EF gives the measurement of residual articular step-off.
See this image and copyright information in PMC

References

    1. Hahn DM. Current principles of treatment in the clinical practice of articular fractures. Clin Orthop Relat Res. 2004:27–32. - PubMed
    1. Marsh JL, Buckwalter J, Gelberman R, Dirschl D, Olson S, Brown T, Llinias A. Articular fractures: does an anatomic reduction really change the result? J Bone Joint Surg Am. 2002;84:1259–1271. - PubMed
    1. Buckwalter JA, Mow VC. Cartilage repair in osteoarthritis. In: Moskowitz RW, Howell DS, Goldberg VM, Mankin HJ, editors. Osteoarthritis diagnosis and medical/surgical management. 2nd edition. Philadephia: WB saunders; 1992. pp. 71–107.
    1. Schenker ML, Mauck RL, Ahn J, Mehta S. Pathogenesis and prevention of posttraumatic osteoarthritis after intra-articular fracture. J Am Acad Orthop Surg. 2014;22:20–28. - PMC - PubMed
    1. Rasmussen PS. Tibial condylar fractures as a cause of degenerative arthritis. Acta Orthop Scand. 1972;43:566–575. - PubMed

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