From the Department of Orthopaedics and Traumatology (Ö. Doğan), Ankara City Hospital, from the Department of Radiology (İ. Doğan), Ankara Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, and from the Department of Orthopaedics and Traumatology (Çulcu), Yüksekova State Hospital, Hakkari, Turkey.
Saudi Med J. 2023 Mar;44(3):306-313. doi: 10.15537/smj.2023.44.3.20220741.
To determine the impact of tibial plateau fractures on patellar height and the factors affecting this impact.
A total of 40 patients treated for plateau fractures between 2017-2021 were evaluated in this retrospective prognostic study. The patient group consisted of lateral radiographs of the operated knees, whereas the control group consisted of lateral radiographs of the healthy sides of the same patients. Insall-Salvati, Caton-Deschamps, Blackburne-Peel, and modified Insall-Salvati indices were measured for both groups. In addition, Schaztker and Luo classifications, as well as the demographic profiles of the patients, were analyzed.
There was no significant difference between the groups in terms of patellar height indices (>0.05). A significant relationship was found between the Insall-Salvati (=0.046) and Blackburne-Pell (=0.011) indices and Luo classification. Post hoc analyses revealed a significant relationship between the Insall-Salvati index and "One Column" fractures and between the Blackburne-Peel index and "Two Column" fractures.
Long-term functions of tibial plateau fractures should be evaluated not only with a painless range of motion but also with patellar height. It should be noted that the Luo classification, which evaluates the plateau 3-dimensionally, may be associated with changes in postoperative patellar height values.
确定胫骨平台骨折对髌骨高度的影响及其影响因素。
在这项回顾性预后研究中，共评估了 2017 年至 2021 年间接受平台骨折治疗的 40 名患者。患者组为手术膝关节的外侧 X 线片，对照组为同一患者健康侧的外侧 X 线片。测量了两组的 Insall-Salvati、Caton-Deschamps、Blackburne-Peel 和改良 Insall-Salvati 指数。此外，还分析了 Schaztker 和 Luo 分类以及患者的人口统计学特征。
两组髌骨高度指数无显著差异（>0.05）。Insall-Salvati（=0.046）和 Blackburne-Pell（=0.011）指数与 Luo 分类之间存在显著关系。事后分析显示，Insall-Salvati 指数与“单柱”骨折之间存在显著关系，Blackburne-Peel 指数与“双柱”骨折之间存在显著关系。
胫骨平台骨折的长期功能不仅应通过无痛的活动范围进行评估，还应通过髌骨高度进行评估。应注意，Luo 分类可三维评估平台，可能与术后髌骨高度值的变化有关。
