ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Bone metabolism is a key factor for clinical outcome of tibial plateau fractures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- [Osteosynthesis for tibial plateau fractures in geriatric patients].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- [Primary total knee arthroplasty in geriatric patients with tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Holding the line: predictors of coronal and sagittal loss of reduction after tibial plateau fracture fixation.Archives of orthopaedic and trauma surgery · 2026Article
- Low rate of secondary interventions for post-traumatic osteoarthritis and satisfactory mid-to-long-term outcomes following tibial plateau fractures.BMC musculoskeletal disorders · 2025Article
- Functional assessment and outcome following surgical treatment of displaced tibial plateau fractures: a retrospective analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- [Intra-articular proximal tibia fractures].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Mismatch between Clinical-Functional and Radiological Outcome in Tibial Plateau Fractures: A Retrospective Study.Journal of clinical medicine · 2023Article
- Extension of the Medial Approach to the Tibial Plateau via an Osteotomy of the Tibial Insertion of the Superficial Medial Collateral Ligament.Journal of clinical medicine · 2023Article
- Letter to the editor of: "posterior tibial plateau impaction fractures are not associated with increased knee instability: a quantitative pivot shift analysis".Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The influence of 3D printing on inter- and intrarater reliability on the classification of tibial plateau fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- [Change in the treatment of tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- Does Time to Theatre Affect the Ability to Achieve Fracture Reduction in Tibial Plateau Fractures?Journal of clinical medicine · 2021Article
- Tibial plateau fractures: a lot more to come!European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
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11 authors.
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Abstract
purposeGiven that tibial plateau fractures (TPF) are rare, they may pose a challenge to the treating surgeon due to their variety of complex fracture patterns. Numerous studies have identified potential fracture-specific, surgery-related, and patient-related risk factors for impaired patient outcomes. However, reports on the influence of bone metabolism on functional outcomes are missing.
methodsIn a retrospective multicenter cohort study, 122 TPF of 121 patients were analyzed with respect to radiological and clinical outcomes (Rasmussen) with a mean follow-up of 35.7 ± 24.9 months. The risk factor assessment included bone metabolism-affecting comorbidities and medication.
resultsThe findings showed that 95.9% of the patients reported a good-to-excellent clinical outcome, and 97.4% reported a good-to-excellent radiological outcome. Logistic regression revealed that potentially impaired bone metabolism (IBM) was an independent risk factor for the clinical (p = 0.016) but not the radiological outcome (Table 4). Patients with 41-type B fractures and a potential IBM had a seven times higher risk to present a fair-to-poor clinical outcome [OR 7.45, 95 CI (4.30, 12.92)]. The most common objective impairment was a limited range of motion in 16.4% of the patients, especially in 41-type C fractures (p = 0.06). The individual failure analysis additionally identified surgery-related options for improvement.
conclusionThis study demonstrated that potential IBM was an independent risk factor for a poor-to-fair clinical outcome.
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