ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Poor sporting abilities after tibial plateau fractures involving the posterior column: how can we do better?
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Prolonged Application of Continuous Passive Movement Improves the Postoperative Recovery of Tibial Head Fractures: A Prospective Randomized Controlled Study.BioMed research international · 2022Trial
- Effect of preoperative isolated muscular calf vein thrombosis on the safety and efficacy of open reduction and internal fixation for schatzker type II and III tibial plateau fractures.Frontiers in surgery · 2026Article
- Return to Work and Sports After Tibial Plateau Fracture Treatment: Are There Factors Associated with Faster Recovery?Journal of clinical medicine · 2025Article
- Diagnostic Predictors of Recovery Outcomes Following Open Reduction and Internal Fixation for Tibial Plateau Fractures: A Retrospective Study Based on the Schatzker Classification.Diagnostics (Basel, Switzerland) · 2025Article
- Return to Skiing After Proximal Tibial Fracture: Postoperative Reality and Initial Expectations.Journal of clinical medicine · 2024Article
- Persistent deficits in knee joint kinematics and kinetics during gait following tibial plateau fractures - a longitudinal study.BMC musculoskeletal disorders · 2024Article
- 3D-validation of a simple tool to measure tibiofemoral axial rotation in tibial plateau fractures.European radiology · 2023Article
- Return to Skiing After Tibial Plateau Fracture.Orthopaedic journal of sports medicine · 2023Article
- Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Posterior tibial plateau fracture treatment with the new WAVE posterior proximal tibia plate: feasibility and first results.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Physiotherapy after tibial plateau fracture fixation: A systematic review of the literature.SAGE open medicine · 2020Review
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Authors and funding
7 authors.
Funding
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Abstract
purposeTibial plateau fractures with the involvement of the posterior column are an important prognostic factor towards poor functional outcome. We aimed to assess the sporting abilities postoperatively with special emphasis on the type of sports and sport-specific movements, as well as time needed to resume sports, restricting factors in sports engagement, and patient satisfaction. We aimed to provide prognostic information on return to sports.
methodsDemographic, clinical and radiological variables were retrospectively collected from 82 multicentric patients between 2014 and 2016. Prospectively, sporting abilities before and after surgery were determined using questionnaires at a mean follow-up of 33 months postoperatively.
resultsInvolvement in sports significantly decreased, with only 68.4% of patients resuming sports (p < 0.001). The mean time needed to partially or fully resume sports was 6-9 and 9-12 months, respectively. The ability to resume at the pre-injury level of effort and performance was 22% and 12%, respectively. Restricting factors were pain (66%), fear of re-injury (37%), limited range of motion (26%), and instability (21%). The majority (59%) of patients were unsatisfied with their physical abilities. Significantly worse outcomes were observed in patients playing high-impact sports, experiencing knee pain during physical activity, suffering from extension/valgus or flexion/varus trauma.
conclusionsTibial plateau fractures with the involvement of the posterior column significantly hamper the patients' sporting abilities, leaving the majority of patients unsatisfied. Preoperative counseling about prognosis, setting realistic expectations, optimizing rehabilitation and pain management postoperatively, and advising low-impact sports might improve engagement in physical activities and emotional impact on patients. LEVEL OF EVIDENCE: 3.
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