ArticleBMC musculoskeletal disorders2021
Impact of surgical site infection on patients' outcome after fixation of tibial plateau fractures: a retrospective multicenter study.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The efficacy of arthroscopy-assisted versus stand-alone open reduction and internal fixation for treating tibial plateau fracture: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Fractures Around the Knee-Significant Achievements During the Past 25 Years and Major Questions to Be Solved.Journal of clinical medicine · 2026Review
- Long-term follow-up of minimally invasive percutaneous plate osteosynthesis with double reverse traction repositor in patients with tibia plateau fracture: an analysis of at least seven years' outcomes.International orthopaedics · 2025Article
- Incidence of Unapparent Preoperative Deep Vein Thrombosis in Patients with Traumatic Intraarticular Tibial Plateau Fracture.Journal of clinical medicine · 2025Article
- Analysis of risk factors for surgical site infection in spinal surgery patients and study of direct economic losses.BMC musculoskeletal disorders · 2024Article
- Patient-reported outcomes after tibial plateau fracture: infection confers greatest risk of poor outcome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Fixation of tibial plateau fracture - risk factors for developing infection: a narrative review.EFORT open reviews · 2024Review
- [Intra-articular proximal tibia fractures].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- External fixator pin placement during initial management of tibial plateau fractures: are there parameters to minimize pin-plate overlap?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Morel-Lavallee lesions and number of surgeries for associated injuries predict surgical site infection risk following pelvic ring injury osteosynthesis.Scientific reports · 2023Article
- Editor's Spotlight/Take 5: Functional Outcome After Nonoperative Management of Tibial Plateau Fractures in Skeletally Mature Patients: What Sizes of Gaps and Stepoffs Can be Accepted?Clinical orthopaedics and related research · 2022Article
- Two-level fixation with headless compression screws for tibial plateau fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- [Change in the treatment of tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2022Review
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10 authors.
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Abstract
backgroundSurgical site infection (SSI) occurs in 3-10 % of patients with surgically treated tibial plateau fractures. This study aimed to evaluate the impact of SSI on patients' outcome after fixation of tibial plateau fractures.
methodsWe conducted a retrospective multicenter study in seven participating level I trauma centers between January 2005 and December 2014. All participating centers followed up with patients with SSI. In addition, three centers followed up with patients without SSI as a reference group. Descriptive data and follow-up data with patient-reported outcome scores (Knee Injury and Osteoarthritis Outcome Score [KOOS] and Lysholm knee scoring scale score) were evaluated.
resultsIn summary, 287 patients (41 with SSI and 246 without SSI; average 50.7 years) with an average follow-up of 75.9 ± 35.9 months were included in this study. Patients with SSI had a significantly poorer overall KOOS (KOOS5) (48.7 ± 23.2 versus [vs.] 71.5 ± 23.5; p < 0.001) and Lysholm knee scoring scale score (51.4 ± 24.0 vs. 71.4 ± 23.5; p < 0.001) than patients without SSI. This significant difference was also evident in the KOOS subscores for pain, symptoms, activities of daily living (ADL), and quality of life (QoL). SSI remained an important factor in multivariable models after adjusting for potential confounders. Clinically relevant differences in the KOOS5 and KOOS subscores for symptoms, pain, and ADL were found between those with SSI and without SSI even after adjustment. Furthermore, the number of previous diseases, Arbeitsgemeinschaft für Osteosynthesefragen Foundation (AO) C fractures, and compartment syndrome were found to be additional factors related to poor outcome.
conclusionsCompared to previous studies, validated patient-reported outcome scores demonstrated that the impact of SSI in patients with surgically treated tibial plateau fractures is dramatic, in terms of not only pain and symptoms but also in ADL and QoL, compared to that in patients without SSI.
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