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The effect of sagittal plane deformities after tibial plateau fractures to functions and instability of knee joint [Význam deformit v sagitální rovině u zlomenin tibiálního plato na funkci a stabilitu kolenního kloubu]
M. Erdil, F. Yildiz, E. Kuyucu, Ş. Sayar, G. Polat, H. H. Ceylan, F. Koçyiğit
Jazyk angličtina Země Česko
Typ dokumentu časopisecké články
PubMed
26936065
Knihovny.cz E-zdroje
- MeSH
- artroskopie metody MeSH
- dospělí MeSH
- fraktury tibie patofyziologie chirurgie MeSH
- kolenní kloub patofyziologie chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nestabilita kloubu chirurgie MeSH
- poranění kolena chirurgie MeSH
- retrospektivní studie MeSH
- senioři MeSH
- spokojenost pacientů MeSH
- tibie anatomie a histologie diagnostické zobrazování MeSH
- vnitřní fixace fraktury metody MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
PURPOSE OF THE STUDY: The objective of this study is to evaluate the effect of posterior tibial slope after fracture healing on antero-posterior knee laxity, functional outcome and patient satisfaction. MATERIAL AND METHODS: 126 patients who were treated for tibial plateau fractures between 2008-2013 in the orthopedics and traumatology department of our institution were evaluated for the study. Patients were treated with open reduction and internal fixation, arthroscopy assisted minimally invasive osteosynthesis or conservative treatment. RESULTS: Mean posterior tibial slope after the treatment was 6.91 ± 5.11 and there was no significant difference when compared to the uninvolved side 6.42 ± 4,21 (p = 0.794). Knee laxity in anterior-posterior plane was 6.14 ± 2.11 and 5.95 ± 2.25 respectively on healthy and injured side. The difference of mean laxity in anterior-posterior plane between two sides was statistically significant. DISCUSSION: In this study we found no difference in laxity between the injured and healthy knees. However Tegner score decreased significantly in patients who had greater laxity difference between the knees. We did not find significant difference between fracture type and laxity, IKDC functional scores independent of the ligamentous injury. CONCLUSION: In conclusion despite coronal alignment is taken into consideration in treatment of tibial plateau fractures, sagittal alignment is reasonably important for stability and should not be ignored.
Bezmi Alem University Orthopaedics and Traumatology Istanbul Turkey
Istanbul Medipol University Orthopaedics and Traumatology Istanbul Turkey
Istanbul University Orthopaedics and Traumatology Istanbul Turkey
LNB Sultangiftligi Government Hospital Orthopaedics and Traumatology Istanbul Turkey
Pamukkale University Physical Therapy and Rehabilitation School Denizli Turkey
Význam deformit v sagitální rovině u zlomenin tibiálního plato na funkci a stabilitu kolenního kloubu
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- $a PURPOSE OF THE STUDY: The objective of this study is to evaluate the effect of posterior tibial slope after fracture healing on antero-posterior knee laxity, functional outcome and patient satisfaction. MATERIAL AND METHODS: 126 patients who were treated for tibial plateau fractures between 2008-2013 in the orthopedics and traumatology department of our institution were evaluated for the study. Patients were treated with open reduction and internal fixation, arthroscopy assisted minimally invasive osteosynthesis or conservative treatment. RESULTS: Mean posterior tibial slope after the treatment was 6.91 ± 5.11 and there was no significant difference when compared to the uninvolved side 6.42 ± 4,21 (p = 0.794). Knee laxity in anterior-posterior plane was 6.14 ± 2.11 and 5.95 ± 2.25 respectively on healthy and injured side. The difference of mean laxity in anterior-posterior plane between two sides was statistically significant. DISCUSSION: In this study we found no difference in laxity between the injured and healthy knees. However Tegner score decreased significantly in patients who had greater laxity difference between the knees. We did not find significant difference between fracture type and laxity, IKDC functional scores independent of the ligamentous injury. CONCLUSION: In conclusion despite coronal alignment is taken into consideration in treatment of tibial plateau fractures, sagittal alignment is reasonably important for stability and should not be ignored.
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