Abstract
OBJECTIVE: To compare the results of tibia plateau fractures treated by locked plate, conventional plate, double plate and ilizarov fixation with special reference to the energy and the fracture and corrrelate with degree of osteoarthritis and radiological parameters.
METHODS: All patients with tibial plateau fractures between 2000-2007 were reviewed (23 men and 16 women; mean age 49.43 years; range between 18-84 years). The patients were evaluated according to Rasmussen functional knee score (RFK), Rasmussen radiological healing score (RRH), Kell Lawrance grading of the osteoarthritis (KL). Correlation analysis between parameters was made.
RESULTS: Conventional unlocked plate had higher RFK, RRH scores than locked plate, double plate and ilizarov groups (p<0.05). RRH score of locked plate group was higher than ilizarov group (p<0.05). However low energy group had higher scores than high energy group (p<0.05). Scores did not differ for high energy between the groups (p>0.05).. At the correlation analysis, there were positive correlations between functional, radiological scores and negative correlation between degree of osteoarthritis and radiological scores. There was no correlation between the degree of osteoarthritis and the functional scores (p>0.05).
CONCLUSION: Short to medium prognosis probably depends on the alignment, stability of the knee while osteoarthritis seems to be secondarily important which may change at longer term follow-up.
References
- 1.Musahl V,Musahl V, Tarkin I, Kobbe P, Tzioupis C, Siska PA, Pape HC. New trends and techniques in open reduction interntrends and fixation of fractures of the tibial plateau. J Bone Jointsurg Br 2009 91 426-33
Abstract
AMAÇ: Bu yazıda amaç kilitli plak, konvansiyonel plak, çift plak ve ilizaroz fiksasyonuyla tedavi edilmiş tibia plato kırıklarının sonuçlarını, kırık tipini ve enerjisini göz önüne alarak karşılaştırmak ve de osteartrit derecesi, radiolojik parametrelerle korele etmekti.
GEREÇ YÖNTEM: 2000-2007 tarihleri arasındaki bütün tibia plato kırıklı hastalar gözden geçirildi (23 erkek, 16 kadın; ortalama yaş 49; dağılım 18-84 yaş). Hastalar Rasmussen fonksiyonel diz skoru (RFK), Rasmussen radyolojik iyileşme skoru (RRH) ve de Kell Lawrance osteoartrit derecelendirmesine göre değerlendirildi.
BULGULAR: Konvansiyonel kilitsiz plağın RFK, RRH skorları kilitli plak, çift plak ve de ilizarovdan yüksekti (p<0.05). Kilitli plak grubunun RRH skoru ilizarov grubundan yüksekti (p<0.05). Düşük enerjili kırık grubunun RFK, RRH skorları yüksek enerjili gruptan yüksekti (p<0.05). Yüksek enerjili kırık patterninde gruplar arası skorlarda fark yoktu (p>0.05). Korelasyon analizinde, fonksiyonel, radyolojik skorlar arasında pozitif, osteoartrit derecesi, radyolojik skorlar arasında negatif korelasyon bulundu. Osteoartrit derecesi ve fonksiyonel diz skoru arasında korelasyon saptanmadı (p>0.05).
SONUÇ: Kısa-orta dönem prognoz muhtemelen diz stabilitesi, dizilimine bağlıyken osteoartrit ikincil derecede öneme sahip gözükmektedir ki bu durum uzun dönem takiplerde değişebilir.
Keywords
References
- 1.Musahl V,Musahl V, Tarkin I, Kobbe P, Tzioupis C, Siska PA, Pape HC. New trends and techniques in open reduction interntrends and fixation of fractures of the tibial plateau. J Bone Jointsurg Br 2009 91 426-33
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | August 31, 2013 |
| Submission Date | February 1, 2013 |
| Published in Issue | Year 2013 Volume: 2 Issue: 2 |
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