ArticleActa orthopaedica2022
Risk of total knee replacement after proximal tibia fracture: a register-based study of 7,841 patients.
Article in Acta orthopaedica, 2022. 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, 18 citations in OpenAlex.
- Risk for total knee arthroplasty after tibial plateau fractures: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Association between surgically treated knee injury and knee arthroplasty: an explorative study based on Finnish nationwide register-based data.Acta orthopaedica · 2026Article
- Acute or Delayed TKA for Tibial Plateau Fracture? An Observational Study From the Swedish Arthroplasty Register.Clinical orthopaedics and related research · 2026Observational
- Article
- Incidence of proximal tibia fractures in adults in Sweden show higher rates in women and a marked increase among young women.Scientific reports · 2026Article
- Traumaplasty in Action: Staggered Bilateral Primary Total Knee Arthroplasty for Complex Proximal Tibial Fractures with Osteoarthritis - A Case Report.Journal of orthopaedic case reports · 2025Article
- Fractures with complex fracture patterns are associated with increased rate of subsequent conversion to total knee arthroplasty after a tibial plateau fracture: an observational cohort study of 12,012 patients from the Swedish Fracture Register.Knee surgery & related research · 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
- Risk of conversion to total knee arthroplasty after surgically treated tibial plateau fractures: an observational cohort study of 439 patients.Acta orthopaedica · 2024Observational
- Complications and secondary operations after non-operative and operative treatment of tibial plateau fractures: a population-based study of 562 patients with mean follow-up of 7 years.Archives of orthopaedic and trauma surgery · 2024Article
- Mismatch between Clinical-Functional and Radiological Outcome in Tibial Plateau Fractures: A Retrospective Study.Journal of clinical medicine · 2023Article
- Current concepts review. Management of proximal tibial fractures.Frontiers in surgery · 2023Review
- A review of Risk Factors for Post-traumatic hip and knee osteoarthritis following musculoskeletal injuries other than anterior cruciate ligament rupture.Orthopedic reviews · 2022Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Post-traumatic knee osteoarthritis following proximal tibia fracture (PTF) is a common complication that may lead to total knee replacement as secondary treatment (TKRS). We determined the risk of TKRS following PTF, whether treated nonoperatively or operatively, and compared the results with a 38-fold control group without prior PTF. Patients and methods - We identified all patients over 18 years of age in Finland with PTF treated during the period 2009-2018 from the Finnish Hospital Discharge Register (FHDR) and Finnish Arthroplasty Register (FAR). Age, sex, treatment method, follow-up time, and possible TKRS were recorded. Results - 7,701 patients were treated for PTF during the period 2009-2018. Over the 5.1-year (SD 3.1) follow-up, TKRS was performed in 340 (4.3%) patients with a prior PTF after a mean of 2.1 (SD 2.0) years post-fracture. TKRS was needed in 138 (3.7%, HR 1.8) patients in the nonoperatively treated group and in 202 (5.0%, HR 3.2) patients in the operatively treated group. Operative treatment, female sex, and high age were identified as risk factors for TKRS. The incidence of TKRS was highest during the first 2 years after fracture and remained elevated throughout the follow-up. Interpretation - Patients with a prior PTF had a 1.8- to 3.2-fold higher risk of TKRS compared with controls during the first 5 years post-fracture. Risk of TKRS was associated with an operatively treated PTF, female sex, and high age. The patients in the operative group likely sustained more complex fractures, while female sex and age may be explained by more osteoporotic bone quality.
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