ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Patients with complex proximal tibial fractures overestimate the prognosis of their injury.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 15 citations in OpenAlex.
- Patient expectations and outcomes of successful scaphoid surgery: a prospective cohort analysis using the trauma expectation and trauma outcome measure (TEFTOM).European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Three-column Plating for Complex Tibial Plateau Fractures: Multivariate Predictors of Superior Functional Recovery.Journal of orthopaedic case reports · 2026Article
- From fracture to joint injury: association between CT-based fracture characteristics and surgically treated non-bony injuries in tibial plateau fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Fractures Around the Knee-Significant Achievements During the Past 25 Years and Major Questions to Be Solved.Journal of clinical medicine · 2026Review
- Functional outcomes of proximal tibia fractures in adults using KOOS.Bioinformation · 2026Article
- Return to Work and Sports After Tibial Plateau Fracture Treatment: Are There Factors Associated with Faster Recovery?Journal of clinical medicine · 2025Article
- Low rate of secondary interventions for post-traumatic osteoarthritis and satisfactory mid-to-long-term outcomes following tibial plateau fractures.BMC musculoskeletal disorders · 2025Article
- Fulfillment of expectations and patient satisfaction following surgical treatment of complex proximal tibial fractures.Archives of orthopaedic and trauma surgery · 2024Article
- Return to Skiing After Proximal Tibial Fracture: Postoperative Reality and Initial Expectations.Journal of clinical medicine · 2024Article
- Patient-Reported Outcomes following Tibial Plateau Fractures: Mid- to Short-Term Implications for Knee Function and Activity Level.Journal of clinical medicine · 2024Article
- Return to Skiing After Tibial Plateau Fracture.Orthopaedic journal of sports medicine · 2023Article
- [Primary total knee arthroplasty following trauma].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- Dissociating advances in orthopaedic trauma management from the climbing patient expectations.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Do Patients Achieve "Full Weight-bearing" Immediately Following Application of Circular Frame Fixation of the Lower Limb?Strategies in trauma and limb reconstructionArticle
- Triple Nerve Injection for Open Reduction and Internal Fixation of Fracture Tibia and Fibula - A Feasibility Study.Journal of medical ultrasoundArticle
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate, if patients with complex proximal tibial fracture have realistic expectations on open reduction and internal fixation.
methods114 patients (mean 49 years, SD ± 13) with closed AO-type B and C proximal tibial fracture were grouped (group B, respectively C). Prior to surgery expectations concerning knee function, pain, return to work/sports, and the risk for osteoarthritis was assessed with the Hospital for Special Surgery-Knee Surgery Expectations Survey (HFSS-KSE) and a non-validated ten-item survey.
results92% of patients expected at least an almost natural knee postoperatively. All items regarding restoring knee function were ranked to be at least important in both groups. 65% in group B and 47% in group C expected at most occasional pain. 83% in group B and 67% in group C expected full return to work without any limitations. Patients with low physical work intensity expected significantly shorter incapacity to work in both groups (7.8, respectively 8.9 weeks). 71% in group B and 60% in group C expected to return to sports with at most small limitations. 33% in group B and 22% in group C assumed risk for osteoarthritis will be prevented by surgery.
conclusionExpectations on surgery for complex proximal tibial fracture are high regardless of fracture type. The prognosis of many health and lifestyle domains was overestimated. The risk for osteoarthritis was underestimated. This study should sensitize surgeons to discuss realistic expectations. This may help to improve patient comprehension what leads to sensible expectations, resulting in improved patients´ satisfaction. LEVEL OF EVIDENCE: IV. TRIAL REGISTRATION NUMBER: 14104, Date of registration: 06/2015.
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