Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates
Abstract Objective To compare clinical, functional, and quality of life outcomes between patients with tibial plateau fractures operated with locked or conventional plates, and to compare the costs of these implants. Methods This was a comparative cross-sectional study of a consecutive series of...
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Sociedade Brasileira de Ortopedia e Traumatologia
2019-05-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000100037&lng=en&tlng=en |
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| author | Bruno Gonçalves Schröder e Souza Thiago Avelino Leite Tarsis Aparecido Bueno da Silva Carlos Otavio Fabiano de Faria Candido Felipe Freesz de Almeida Valdeci Manoel de Oliveira |
| author_facet | Bruno Gonçalves Schröder e Souza Thiago Avelino Leite Tarsis Aparecido Bueno da Silva Carlos Otavio Fabiano de Faria Candido Felipe Freesz de Almeida Valdeci Manoel de Oliveira |
| author_sort | Bruno Gonçalves Schröder e Souza |
| collection | DOAJ |
| description | Abstract Objective To compare clinical, functional, and quality of life outcomes between patients with tibial plateau fractures operated with locked or conventional plates, and to compare the costs of these implants. Methods This was a comparative cross-sectional study of a consecutive series of patients with tibial plateau fractures treated surgically from August 2015 to June 2016. Patients < 18 years old, those unable to answer the questionnaires or to attend the outpatient reassessment, polytrauma patients, those with associated injuries on the ipsilateral limb, and patients who had not undergone treatment with bone plates were excluded. The present study compared the costs of the implants for the hospital, quality of life (with the 12-Item Short Form Health Survey [SF-12]), Lysholm score, pain scale, and clinical and radiological parameters. Results A total of 45 patients with tibial plateau fractures were admitted, and 11 cases were excluded. Two cases were lost to follow-up; therefore, 32 remained for the analysis (94%). The mean follow-up time was of 15.1 months (standard deviation [SD] = 4.8 months). In group A (locked plates), there were 22 patients (69%), at an average hospital cost of BRL 4,125.39/patient (SD = 1,634.79/patient) for the implants. In group B (conventional plates) there were 10 patients (31%), at an average cost of BRL 438.53 (SD = 161.8/patient) (p < 0.00001). For the other parameters, no differences were observed, except for a greater articular depression in group A (2.7 mm ± 3.3 mm versus 0.5 mm ± 1.6 mm; p = 0.02; TE = 0.90). Conclusion The costs of locked implants for the treatment of tibial plateau fractures are significantly higher than those of conventional implants, without any clinical, quality of life, radiological, or functional advantages of the locked implants demonstrated in the present series. |
| first_indexed | 2024-03-08T08:03:45Z |
| format | Article |
| id | doaj.art-970ceba559894a919eb3150b3015a9c5 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T08:03:45Z |
| publishDate | 2019-05-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-970ceba559894a919eb3150b3015a9c52024-02-02T11:45:27ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782019-05-01541374410.1016/j.rbo.2017.09.004S0102-36162019000100037Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional PlatesBruno Gonçalves Schröder e SouzaThiago Avelino LeiteTarsis Aparecido Bueno da SilvaCarlos Otavio Fabiano de Faria CandidoFelipe Freesz de AlmeidaValdeci Manoel de OliveiraAbstract Objective To compare clinical, functional, and quality of life outcomes between patients with tibial plateau fractures operated with locked or conventional plates, and to compare the costs of these implants. Methods This was a comparative cross-sectional study of a consecutive series of patients with tibial plateau fractures treated surgically from August 2015 to June 2016. Patients < 18 years old, those unable to answer the questionnaires or to attend the outpatient reassessment, polytrauma patients, those with associated injuries on the ipsilateral limb, and patients who had not undergone treatment with bone plates were excluded. The present study compared the costs of the implants for the hospital, quality of life (with the 12-Item Short Form Health Survey [SF-12]), Lysholm score, pain scale, and clinical and radiological parameters. Results A total of 45 patients with tibial plateau fractures were admitted, and 11 cases were excluded. Two cases were lost to follow-up; therefore, 32 remained for the analysis (94%). The mean follow-up time was of 15.1 months (standard deviation [SD] = 4.8 months). In group A (locked plates), there were 22 patients (69%), at an average hospital cost of BRL 4,125.39/patient (SD = 1,634.79/patient) for the implants. In group B (conventional plates) there were 10 patients (31%), at an average cost of BRL 438.53 (SD = 161.8/patient) (p < 0.00001). For the other parameters, no differences were observed, except for a greater articular depression in group A (2.7 mm ± 3.3 mm versus 0.5 mm ± 1.6 mm; p = 0.02; TE = 0.90). Conclusion The costs of locked implants for the treatment of tibial plateau fractures are significantly higher than those of conventional implants, without any clinical, quality of life, radiological, or functional advantages of the locked implants demonstrated in the present series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000100037&lng=en&tlng=entibial fracturesbone platesquality of lifeLysholm knee scoresick leavecost and cost analysisunified health system |
| spellingShingle | Bruno Gonçalves Schröder e Souza Thiago Avelino Leite Tarsis Aparecido Bueno da Silva Carlos Otavio Fabiano de Faria Candido Felipe Freesz de Almeida Valdeci Manoel de Oliveira Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates Revista Brasileira de Ortopedia tibial fractures bone plates quality of life Lysholm knee score sick leave cost and cost analysis unified health system |
| title | Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates |
| title_full | Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates |
| title_fullStr | Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates |
| title_full_unstemmed | Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates |
| title_short | Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates |
| title_sort | comparative study of function and quality of life in patients with fracture of the tibial plateau operated with locked or conventional plates |
| topic | tibial fractures bone plates quality of life Lysholm knee score sick leave cost and cost analysis unified health system |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000100037&lng=en&tlng=en |
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