ArticleInternational orthopaedics2015
Gait characteristics before hardware removal in patients operated upon for tibial plateau fractures.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Persistent deficits in knee joint kinematics and kinetics during gait following tibial plateau fractures - a longitudinal study.BMC musculoskeletal disorders · 2024Article
- Gait Analysis to Monitor Fracture Healing of the Lower Leg.Bioengineering (Basel, Switzerland) · 2023Review
- Gait biomechanics in patients with intra-articular tibial plateau fractures - gait analysis at three months compared with age- and gender-matched healthy subjects.BMC musculoskeletal disorders · 2021Article
- Early experience using patient-specific instrumentation in opening wedge high tibial osteotomy.International orthopaedics · 2021Observational
- Arthroscopic Repair in Tibial Spine Avulsion Fractures Using Polyethylene Terephthalate Suture: Good to Excellent Results in Pediatric Patients.Journal of personalized medicine · 2021Article
- In vivo kinematics of gait in posterior-stabilized and bicruciate-stabilized total knee arthroplasties using image-matching techniques.International orthopaedics · 2018Article
- Incidence of knee height asymmetry in a paediatric population of corrected leg length discrepancy: a retrospective chart review study.International orthopaedics · 2018Article
- Deep vein thrombosis following the treatment of lower limb pathologic bone fractures - a comparative study.BMC musculoskeletal disorders · 2018Article
- Cross-cultural adaptation and validation of a patient-reported hip outcome score.International orthopaedics · 2018Article
- Long-term pathological gait pattern changes after talus fractures - dynamic measurements with a new insole.International orthopaedics · 2018Observational
- Extra-articular distal tibia fractures-controversies regarding treatment options. A single-centre prospective comparative study.International orthopaedics · 2018Article
- Weight-bearing recommendations after operative fracture treatment-fact or fiction? Gait results with and feasibility of a dynamic, continuous pedobarography insole.International orthopaedics · 2017Observational
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Authors and funding
6 authors.
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Abstract
purposeThe reporting of gait analysis data on operated fractures of the tibial plateau, while extensive for studies of knee osteoarthritis of mostly undisclosed aetiology and ACL deficient knees, is rather limited in literature.
methodsIn the present study we investigated 25 tibial plateau fractures classified as Schatzker II, IV, V and VI that underwent operative reduction and lateral plate osteosynthesis. Apart from routine radiographic exploration and patient completed (KOOS) scores at three (mean of 3.2 months), six (mean of 5.6 months) and 12 months (mean of 11.3 months) postoperatively, gait analysis was performed at these intervals as well. Cadence, step time and knee flexion were the gait parameters that were selected for the comparison at six and 12 months postoperatively.
resultsThe analysed gait parameters were significantly improved between the six and the 12-month session and statistically significant differences were found between the two groups of values. Cadence had a mean value of 41 steps/minute at six months and 45 steps/minute at 12 months (p = 0.99). Step time was a mean of 0.74 seconds at six months while at 12 months the median value was 0.66 seconds (p = 0.94). Knee flexion angles evolved in a similar manner with mean values of 58° at six months and 69° at 12 months (p = 0.95). The mean KOOS scores were 42.4, 56.3 and 67.99 at three, six and 12 months postoperatively, respectively.
conclusionComplex intra-articular fractures, classified as Schatzker IV, V and VI, had a higher impact on joint function than Schatzker II fractures treated with similar techniques and implants. There were statistically significant improvements in the recovery status at 12 months postoperatively compared to six months with extended chances for improvement.
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