Comparative Analysis of Clinical Outcomes of Tibial Plateau Fractures and Computed Tomography Examinations
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2015, Vol 17, Issue 2
Abstract
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.
Authors and Affiliations
Krzysztof Piątkowski, Krzysztof Kwiatkowski, Piotr Piekarczyk, Arkadiusz Zegadło, Rafał Rojkowski
Keywords
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- EP ID EP57499
- DOI 10.5604/15093492.1157090
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