Comparative Analysis of Clinical Outcomes of Tibial Plateau Fractures and Computed Tomography Examinations Krzysztof Piątkowski, Krzysztof Kwiatkowski, Piotr Piekarczyk, Arkadiusz Zegadło, Rafał Rojkowski Ortop Traumatol Rehabil 2015; 17(2):135-145 ICID: 1157090
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
Background. The aim of the study was to evaluate the outcomes of treatment of tibial plateau fractures. Based on CT examination, we set out to determine what factors were associated with a poor functional outcome.
Material and methods. The study involved 13 patients after surgery for tibial plateau fracture by locking plate osteosynthesis. CT studies using a MARS application were performed. The presence of subchondral defects was evaluated, including their area and depth. The reduction and widening of the tibial plateau were measured. The study data were correlated with the clinical outcome: pain according to a VAS scale, knee joint range of motion and the subjective IKDC score.
Results. Bone defects were observed in the majority of patients. On the basis of surface reconstruction, it was possible to accurately evaluate the articular step-off of the tibial plateau, which closely correlated with the range of motion and the subjective IKDC score (p <0.05). A correlation was also observed between widening of the lateral condyle and the IKDC score and pain level in the VAS scale (p<0.05).
Conclusions. 1. Articular step-off and widening of the lateral condyle strongly correlates with the clinical outcome of tibial plateau fracture treatment. 2. The presence and extent of subchondral bone defects in the tibial plateau are related to knee pain in patients but have no effect on the range of motion and the IKDC score. 3. Bone graft remodeling cannot be fully assessed despite the use of MARS in CT imaging.
DOI 10.5604/15093492.1157090 PMID 26248758 - click here to show this article in PubMed