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Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures.

Publication ,  Journal Article
Pean, CA; Driesman, A; Christiano, A; Konda, SR; Davidovitch, R; Egol, KA
Published in: J Am Acad Orthop Surg
May 2017

INTRODUCTION: This study sought to assess and compare long-term functional and clinical outcomes in patients with tibial plateau fractures that are treated nonsurgically. METHODS: Over a period of 8 years, 305 consecutive tibial plateau fractures were treated by three surgeons at a single institution and followed prospectively in an Institutional Review Board-approved study. Overall, 41 patients (13%) were treated nonsurgically and 37 were available for follow-up. Indications for nonsurgical management were minimal fracture displacement or preclusion of surgery because of comorbidities. A series of univariate retrospective analyses were used to identify individual risk factors potentially predictive of Short Musculoskeletal Functional Assessment scores. RESULTS: Thirty-seven patients were included with a mean follow-up of 21 ± 14.9 months. Overall, 59% of patients (n = 22) attained good to excellent functional outcomes. In patients for whom surgery was precluded because of comorbidities, outcome scores were significantly poorer (38.8 ± 23.0 versus 12.7 ± 14.2; P = 0.001). Surgery precluded by a factor other than minimal fracture displacement predicted poor outcome (P = 0.002). DISCUSSION: Carefully selected patients with minimally displaced tibial plateau fractures can expect good to excellent outcomes when treated nonsurgically. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

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Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

May 2017

Volume

25

Issue

5

Start / End Page

375 / 380

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tibial Fractures
  • Retrospective Studies
  • Orthopedics
  • Humans
  • Follow-Up Studies
  • Analysis of Variance
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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ICMJE
MLA
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Pean, C. A., Driesman, A., Christiano, A., Konda, S. R., Davidovitch, R., & Egol, K. A. (2017). Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures. J Am Acad Orthop Surg, 25(5), 375–380. https://doi.org/10.5435/JAAOS-D-16-00217
Pean, Christian A., Adam Driesman, Anthony Christiano, Sanjit R. Konda, Roy Davidovitch, and Kenneth A. Egol. “Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures.J Am Acad Orthop Surg 25, no. 5 (May 2017): 375–80. https://doi.org/10.5435/JAAOS-D-16-00217.
Pean CA, Driesman A, Christiano A, Konda SR, Davidovitch R, Egol KA. Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures. J Am Acad Orthop Surg. 2017 May;25(5):375–80.
Pean, Christian A., et al. “Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures.J Am Acad Orthop Surg, vol. 25, no. 5, May 2017, pp. 375–80. Pubmed, doi:10.5435/JAAOS-D-16-00217.
Pean CA, Driesman A, Christiano A, Konda SR, Davidovitch R, Egol KA. Functional and Clinical Outcomes of Nonsurgically Managed Tibial Plateau Fractures. J Am Acad Orthop Surg. 2017 May;25(5):375–380.

Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

May 2017

Volume

25

Issue

5

Start / End Page

375 / 380

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tibial Fractures
  • Retrospective Studies
  • Orthopedics
  • Humans
  • Follow-Up Studies
  • Analysis of Variance
  • 3202 Clinical sciences
  • 1103 Clinical Sciences