Polat B, Gurpinar T, Polat A E, Ozturkmen Y
Department of Orthopaedics and Traumatology, Faculty of Medicine, University of Kyrenia, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, Istanbul Education and Research Hospital, Istanbul, Turkey.
Niger J Clin Pract. 2019 Dec;22(12):1715-1721. doi: 10.4103/njcp.njcp_432_18.
The aim of this study is to assess the functional and radiological outcomes of 52 surgically treated tibial plateau fractures and to determine the factors affecting functional outcomes.
A total of 52 patients who were operated between 2007 and 2014 due to tibial plateau fractures were retrospectively reviewed. The Knee Society Score (KSS) was used for the functional outcome assessment. The Kellgren-Lawrence radiological evaluation score was used for the relationship between postoperative trauma and osteoarthritis in the last follow-up.
Patients' mean age was 47.7 years (range, 14-84 years). The immobilization period was 4.2 weeks (range, 0-8 weeks), the full weightbearing time was 3.3 months (range, 1.5-5 months), and the follow-up time was 47 months (range, 17-102 months). Patients' mean KSS was 84.3 (range, 40-100). According to the Kellgren-Lawrence classification, 26 patients had grade 0, 11 patients had grade 1, 8 patients had grade 2, 5 patients had grade 3, and 2 patients had grade 4 postoperative osteoarthritis.
Use of graft if there is collapse on joint surface, early knee motion, and early started full weightbearing after surgical fixation of tibial plateau fracture is essential for successful outcome. Findings of osteoarthritis on X-rays are not related to poor functional outcome at the mid- to long-term follow-up of surgical treated tibial plateau fractured patients.
本研究旨在评估52例接受手术治疗的胫骨平台骨折的功能和影像学结果，并确定影响功能结果的因素。
回顾性分析2007年至2014年间因胫骨平台骨折接受手术的52例患者。采用膝关节协会评分（KSS）评估功能结果。末次随访时，使用凯尔格伦-劳伦斯影像学评估评分评估术后创伤与骨关节炎之间的关系。
患者平均年龄47.7岁（范围14 - 84岁）。固定期为4.2周（范围0 - 8周），完全负重时间为3.3个月（范围1.5 - 5个月），随访时间为47个月（范围17 - 102个月）。患者的平均KSS为84.3（范围40 - 100）。根据凯尔格伦-劳伦斯分类，26例患者术后骨关节炎为0级，11例为1级，8例为2级，5例为3级，2例为4级。
胫骨平台骨折手术固定后，若关节面塌陷则使用植骨、早期膝关节活动以及早期开始完全负重对取得成功结果至关重要。在接受手术治疗的胫骨平台骨折患者的中长期随访中，X线片上骨关节炎的表现与功能结果不佳无关。
