Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery
Abstract Purpose The objective of this study was to investigate the effect of proximal fibular and/or posterolateral joint facet (PJF) fractures on early functional recovery after Schatzker type VI tibial plateau fractures (TPFs). Methods Seventy-nine patients with Schatzker type VI TPFs sustained f...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-023-03887-2 |
| _version_ | 1827928579863740416 |
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| author | Xuezi Wang Hu Yang Chungui Xu Xinzhong Xu Chun Zhang Juehua Jing |
| author_facet | Xuezi Wang Hu Yang Chungui Xu Xinzhong Xu Chun Zhang Juehua Jing |
| author_sort | Xuezi Wang |
| collection | DOAJ |
| description | Abstract Purpose The objective of this study was to investigate the effect of proximal fibular and/or posterolateral joint facet (PJF) fractures on early functional recovery after Schatzker type VI tibial plateau fractures (TPFs). Methods Seventy-nine patients with Schatzker type VI TPFs sustained from November 2016 to February 2021 were divided into three groups according to the integrity of the proximal fibula and PJF (groups A, B, and C). Details including demographics, duration of surgery, and complications were recorded. The Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) score, Hospital for Special Surgery (HSS) score, lateral knee pain and lateral hamstring tightness were ascertained at the final follow-up. The HSS and WOMAC scores have high reliability in evaluating knee function and osteoarthritis. Results There was a significant difference in the HSS score between groups A and C (P < 0.001) and between groups B and C (P = 0.036). The hospital stay was significantly different between groups A and C (P = 0.038) and between groups B and C (P = 0.013). There was a significant difference in lateral knee pain and lateral hamstring tightness between groups A and C (P < 0.001) and between groups B and C (P < 0.001). Conclusion Our study demonstrates that proximal fibular and PJF fractures do not increase the time from injury to surgery, the incidence of complications, or the duration of surgery for Schatzker type VI TPFs. However, fractures of the proximal fibula significantly increase the hospital stay, reduce knee function, and cause lateral knee pain and lateral hamstring tightness. Combined proximal fibular fracture is more decisive than PJF involvement for prognosis. |
| first_indexed | 2024-03-13T06:09:41Z |
| format | Article |
| id | doaj.art-b948ff01fba64c70a0069ee26e43838a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-13T06:09:41Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b948ff01fba64c70a0069ee26e43838a2023-06-11T11:20:27ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-06-011811810.1186/s13018-023-03887-2Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recoveryXuezi Wang0Hu Yang1Chungui Xu2Xinzhong Xu3Chun Zhang4Juehua Jing5Department of Orthopedic Surgery, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Anhui Medical UniversityAbstract Purpose The objective of this study was to investigate the effect of proximal fibular and/or posterolateral joint facet (PJF) fractures on early functional recovery after Schatzker type VI tibial plateau fractures (TPFs). Methods Seventy-nine patients with Schatzker type VI TPFs sustained from November 2016 to February 2021 were divided into three groups according to the integrity of the proximal fibula and PJF (groups A, B, and C). Details including demographics, duration of surgery, and complications were recorded. The Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) score, Hospital for Special Surgery (HSS) score, lateral knee pain and lateral hamstring tightness were ascertained at the final follow-up. The HSS and WOMAC scores have high reliability in evaluating knee function and osteoarthritis. Results There was a significant difference in the HSS score between groups A and C (P < 0.001) and between groups B and C (P = 0.036). The hospital stay was significantly different between groups A and C (P = 0.038) and between groups B and C (P = 0.013). There was a significant difference in lateral knee pain and lateral hamstring tightness between groups A and C (P < 0.001) and between groups B and C (P < 0.001). Conclusion Our study demonstrates that proximal fibular and PJF fractures do not increase the time from injury to surgery, the incidence of complications, or the duration of surgery for Schatzker type VI TPFs. However, fractures of the proximal fibula significantly increase the hospital stay, reduce knee function, and cause lateral knee pain and lateral hamstring tightness. Combined proximal fibular fracture is more decisive than PJF involvement for prognosis.https://doi.org/10.1186/s13018-023-03887-2Proximal fibulaPosterolateral joint facetSchatzkerTibial plateau fracture |
| spellingShingle | Xuezi Wang Hu Yang Chungui Xu Xinzhong Xu Chun Zhang Juehua Jing Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery Journal of Orthopaedic Surgery and Research Proximal fibula Posterolateral joint facet Schatzker Tibial plateau fracture |
| title | Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery |
| title_full | Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery |
| title_fullStr | Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery |
| title_full_unstemmed | Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery |
| title_short | Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery |
| title_sort | effect of schatzker type vi tibial plateau fractures combined with a proximal fibular and or posterolateral joint facet fracture on early postoperative functional recovery |
| topic | Proximal fibula Posterolateral joint facet Schatzker Tibial plateau fracture |
| url | https://doi.org/10.1186/s13018-023-03887-2 |
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