What is the clinical evidence from this study?

Study design: Observational. Population: Proximal tibia intra-articular fractures (n=74). Intervention: Open reduction and internal fixation (ORIF). Primary outcome: Functional outcome assessed by KOOS and WOMAC scores.

What does this research mean for the field?

Open reduction and internal fixation of tibial plateau fractures yields good to fair functional outcomes in Schatzker types I-IV, but poor functional outcomes in high-energy types V-VI. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

February 3, 2023International Journal of Research in OrthopaedicsOpen Access

Functional outcome of proximal tibia intra-articular fractures after open reduction and internal fixation

View Full Paper

Ask AI

Bookmark

Key result

ORIF yields good to fair outcomes for Schatzker types I-IV but poor outcomes for high-energy fractures.

n=74

Why the study?

Tibial plateau fractures are difficult to manage and require absolute stable fixation to improve function and prevent post-traumatic arthritis.

Does open reduction and internal fixation improve functional outcomes in patients with proximal tibia intra-articular fractures?

Population

74 patients with proximal tibia fractures treated with ORIF

Follow-up

one year

Authors

NANagesh AkhadeLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College RCRanjit Chopade PSPranav Shere

Discussion

Member takes

Implication

ORIF outcomes vary by Schatzker type in this cohort; leaves open optimal strategies for high-energy fractures pending prospective trials.

Study Design

Type

Observational (n=74)

Multicenter

Structured PICO

Does open reduction and internal fixation improve functional outcomes in patients with proximal tibia intra-articular fractures?

Population

74 patients (mean age 38 years, 39% female) with displaced proximal tibia plateau fractures treated with open reduction and internal fixation, followed for an average of 16 months.

Intervention

Open reduction and internal fixation (ORIF) with buttress plate

Outcome

Functional outcome assessed by Knee injury and Osteoarthritis Outcome Score (KOOS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at one yearpatient reported

ORIF provides good to fair functional outcomes for proximal tibia fractures, with worse outcomes associated with higher Schatzker types and high-energy trauma.

Limitations

Open fractures were not included
Mean follow up period is short compared to other studies

Cite This Study

Akhade et al. (2023) conducted an observational in Proximal tibia intra-articular fractures (n=74). Open reduction and internal fixation (ORIF) was evaluated on Functional outcome assessed by KOOS and WOMAC scores. Open reduction and internal fixation of tibial plateau fractures yielded good to fair functional outcomes in Schatzker types I-IV, whereas high-energy fractures (types V-VI) showed poor outcomes.

synapsesocial.com/papers/6aa807ec23fd375c448da755 https://doi.org/10.18203/issn.2455-4510.intjresorthop20230292

View Full Paper

Ask AI

Bookmark

Functional outcome of proximal tibia intra-articular fractures after open reduction and internal fixation

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Functional outcome of proximal tibia intra-articular fractures after open reduction and internal fixation

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider