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Acta ortopédica mexicana
Print version ISSN 2306-4102
Abstract
JURICH, M et al. Radiological and functional results in high-energy tibial plate fractures. Acta ortop. mex [online]. 2021, vol.35, n.4, pp.322-326. Epub May 23, 2022. ISSN 2306-4102. https://doi.org/10.35366/103311.
Introduction:
The tibial plateau fractures due to high-energy mechanisms are serious injuries that occur on a load bearing joint. These are difficult to approach because, also affect the bone structure of the leg, they usually have associated soft tissue injuries.
Objective:
To evaluate the radiological and functional results of high-energy tibial plateau fractures with a minimum follow-up of one year.
Material and methods:
Retrospective, observational and multicenter study. Analysis of radiological and functional outcomes in the treatment of high-energy tibial plateau fractures, treated by open reduction and internal fixation (ORIF) between 2014 and 2019.
Results:
54 fractures treated by ORIF. Follow-up one year. 98.1% consolidation in 13 weeks on average. 83.4% without alterations of the axis in the coronal plane. 74% without postoperative joint widening. Functional scores: Lysholm 82.1 average points and Oxford Knee Score (OKS) 39.5 average points.
Conclusion:
The joint range of motion was reduced after a high-energy tibial plateau fracture, but with good functional results. The less off axis and less post-operative radiographic widening, the better results are obtained.
Keywords : High energy tibial plateau; varus/valgus; tibial plateau widening; postoperative functionality.