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Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures.

Publication ,  Journal Article
Christiano, AV; Pean, CA; Kugelman, DN; Konda, SR; Egol, KA
Published in: J Knee Surg
May 2020

The purpose of this study is to determine when functional outcome no longer improves following tibial plateau fracture. A patient series of operatively treated tibial plateau fractures was reviewed. Patients were evaluated using the short musculoskeletal function assessment (SMFA), range of motion (ROM) assessment, and pain levels at visual analog scale (VAS) at 3, 6, and 12 months postoperatively. Fractures were classified by the Schatzker's classification using preoperative imaging. The case series was divided into two groups based on fracture patterns. Friedman's tests were conducted to determine if there were differences in SMFA, ROM, or VAS throughout the postoperative course. A total of 117 patients with tibial plateau fractures treated operatively, with complete follow-up and without complication, were identified. Seventy-seven patients (65.8%) sustained lateral tibial plateau fractures (Schatzker's I-III). Friedman's test demonstrated significant differences in SMFA (p < 0.0005) and ROM (p < 0.0005) at the three time points. Post hoc analysis demonstrated a significant difference in SMFA (p < 0.0005) and ROM (p = 0.003) between 3 and 6 months postoperatively but no significant difference in either metric between 6 and 12 months postoperatively. Friedman's test demonstrated no significant difference in VAS postoperatively (p = 0.210). Forty patients (34.2%) sustained medial or bicondylar tibial plateau fractures (Schatzker's IV-VI). Friedman's test demonstrated significant differences in SMFA (p < 0.0005) and ROM (p < 0.0005) at the three time points. Post hoc analysis demonstrated a strong trend toward significance in SMFA between 3 and 6 months postoperatively (p = 0.088), and demonstrated a significant difference between 6 and 12 months postoperatively (p = 0.013). ROM was found to be significantly different between 3 and 6 months postoperatively (p = 0.010), but no difference was found between 6 and 12 months postoperatively (p = 0.929). Friedman's test demonstrated no significant difference in VAS postoperatively (p = 0.941). In this cohort, no significant difference in function, ROM, or pain level exists between 6 and 12 months after treatment of lateral tibial plateau fractures. However, there are significant improvements in function for at least 1 year following medial or bicondylar tibial plateau fractures.

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Published In

J Knee Surg

DOI

EISSN

1938-2480

Publication Date

May 2020

Volume

33

Issue

5

Start / End Page

481 / 485

Location

Germany

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Time Factors
  • Tibial Fractures
  • Tibia
  • Recovery of Function
  • Range of Motion, Articular
  • Middle Aged
  • Male
  • Knee Joint
 

Citation

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Christiano, A. V., Pean, C. A., Kugelman, D. N., Konda, S. R., & Egol, K. A. (2020). Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures. J Knee Surg, 33(5), 481–485. https://doi.org/10.1055/s-0039-1678676
Christiano, Anthony V., Christian A. Pean, David N. Kugelman, Sanjit R. Konda, and Kenneth A. Egol. “Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures.J Knee Surg 33, no. 5 (May 2020): 481–85. https://doi.org/10.1055/s-0039-1678676.
Christiano AV, Pean CA, Kugelman DN, Konda SR, Egol KA. Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures. J Knee Surg. 2020 May;33(5):481–5.
Christiano, Anthony V., et al. “Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures.J Knee Surg, vol. 33, no. 5, May 2020, pp. 481–85. Pubmed, doi:10.1055/s-0039-1678676.
Christiano AV, Pean CA, Kugelman DN, Konda SR, Egol KA. Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures. J Knee Surg. 2020 May;33(5):481–485.
Journal cover image

Published In

J Knee Surg

DOI

EISSN

1938-2480

Publication Date

May 2020

Volume

33

Issue

5

Start / End Page

481 / 485

Location

Germany

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Time Factors
  • Tibial Fractures
  • Tibia
  • Recovery of Function
  • Range of Motion, Articular
  • Middle Aged
  • Male
  • Knee Joint