Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series study

Purpose: Tibia plateau fracture (TPF) treatment aims at achieving a stable, aligned, mobile, painless knee and preventing post-traumatic osteoarthritis. To achieve this goal, surgeons consider criteria such as patients' characteristics, severity, risk of complications, fracture displacement/dep...

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Main Authors: Yaşar Mahsut Dinçel, Ali Öner, Yavuz Arikan, Sever Çaglar, Raşit Özcafer, Mehmet Akif Güleç
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Chinese Journal of Traumatology
Online Access:http://www.sciencedirect.com/science/article/pii/S1008127517301384
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author Yaşar Mahsut Dinçel
Ali Öner
Yavuz Arikan
Sever Çaglar
Raşit Özcafer
Mehmet Akif Güleç
author_facet Yaşar Mahsut Dinçel
Ali Öner
Yavuz Arikan
Sever Çaglar
Raşit Özcafer
Mehmet Akif Güleç
author_sort Yaşar Mahsut Dinçel
collection DOAJ
description Purpose: Tibia plateau fracture (TPF) treatment aims at achieving a stable, aligned, mobile, painless knee and preventing post-traumatic osteoarthritis. To achieve this goal, surgeons consider criteria such as patients' characteristics, severity, risk of complications, fracture displacement/depression, degree of soft tissue injury. However, body mass index (BMI) is not considered as a risk factor in literature. Our study was conducted to find out any possible correlation between BMI and functional scores or radiological score separately. Methods: Retrospective analysis of case series between 2011 and 2014 was done on the database of a tertiary hospital in Istanbul. There were 67 TPF patients (54 males, 13 females) in the study. Relationship between BMI and functional knee scores or radiological score was compared statistically. Closed fractures with both high-energy and low-energy injury were included in the study. Patients with open fracture, multi-trauma presence, meniscus and/or ligamentous injury, increased co-morbidity, inadequate records (25 cases in all) were excluded. Surgery type, Schatzker classification, injury side, trauma energy, and gender were considered as possible risk factors. Binary regression analysis was done for possible factors affecting functional knee scores and radiologic score. Results: Model summary calculations were done as Nagelkerke R2 test for Knee Society score, Lysholm knee score, and Ahlback and Rydberg radiologic scores, which were 0.648, 0.831, and 0.327 respectively. Homer–Lemeshow test values were 0.976, 0.998, and 0.362, respectively. There is negative correlation between BMI and both knee function scores. There is no correlation between BMI and radiologic score. Conclusion: An increase in BMI has a negative effect on functional knee scores after surgical treatment of TPFs. Therefore, BMI should be considered as a risk factor for surgical treatment of TPFs. Keywords: Tibial plateau fractures, Risk factor, Body mass index
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spelling doaj.art-8e6501d7d6bb44acb6094aa2be1e5a332022-12-22T03:15:30ZengElsevierChinese Journal of Traumatology1008-12752018-04-01212104108Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series studyYaşar Mahsut Dinçel0Ali Öner1Yavuz Arikan2Sever Çaglar3Raşit Özcafer4Mehmet Akif Güleç5Baltalimanı Bone Diseases Education and Research Hospital, Istanbul, TurkeyBaltalimanı Bone Diseases Education and Research Hospital, Istanbul, Turkey; Corresponding author.Baltalimanı Bone Diseases Education and Research Hospital, Istanbul, TurkeyBaltalimanı Bone Diseases Education and Research Hospital, Istanbul, TurkeyBaltalimanı Bone Diseases Education and Research Hospital, Istanbul, TurkeyBagcilar Education and Research Hospital, Istanbul, TurkeyPurpose: Tibia plateau fracture (TPF) treatment aims at achieving a stable, aligned, mobile, painless knee and preventing post-traumatic osteoarthritis. To achieve this goal, surgeons consider criteria such as patients' characteristics, severity, risk of complications, fracture displacement/depression, degree of soft tissue injury. However, body mass index (BMI) is not considered as a risk factor in literature. Our study was conducted to find out any possible correlation between BMI and functional scores or radiological score separately. Methods: Retrospective analysis of case series between 2011 and 2014 was done on the database of a tertiary hospital in Istanbul. There were 67 TPF patients (54 males, 13 females) in the study. Relationship between BMI and functional knee scores or radiological score was compared statistically. Closed fractures with both high-energy and low-energy injury were included in the study. Patients with open fracture, multi-trauma presence, meniscus and/or ligamentous injury, increased co-morbidity, inadequate records (25 cases in all) were excluded. Surgery type, Schatzker classification, injury side, trauma energy, and gender were considered as possible risk factors. Binary regression analysis was done for possible factors affecting functional knee scores and radiologic score. Results: Model summary calculations were done as Nagelkerke R2 test for Knee Society score, Lysholm knee score, and Ahlback and Rydberg radiologic scores, which were 0.648, 0.831, and 0.327 respectively. Homer–Lemeshow test values were 0.976, 0.998, and 0.362, respectively. There is negative correlation between BMI and both knee function scores. There is no correlation between BMI and radiologic score. Conclusion: An increase in BMI has a negative effect on functional knee scores after surgical treatment of TPFs. Therefore, BMI should be considered as a risk factor for surgical treatment of TPFs. Keywords: Tibial plateau fractures, Risk factor, Body mass indexhttp://www.sciencedirect.com/science/article/pii/S1008127517301384
spellingShingle Yaşar Mahsut Dinçel
Ali Öner
Yavuz Arikan
Sever Çaglar
Raşit Özcafer
Mehmet Akif Güleç
Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series study
Chinese Journal of Traumatology
title Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series study
title_full Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series study
title_fullStr Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series study
title_full_unstemmed Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series study
title_short Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: A comparative retrospective case series study
title_sort effect of bmi on outcomes of surgical treatment for tibial plateau fractures a comparative retrospective case series study
url http://www.sciencedirect.com/science/article/pii/S1008127517301384
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