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Characteristics of patients requiring early total knee replacement after surgically treated lateral tibial plateau fractures—A comparative cohort study

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

The primary aim of the present study was to compare basic characteristics of patients requiring early treatment with TKR and patients not requiring TKR within 3 years following a lateral tibial plateau fracture.

Methods

Comparative cohort study. From December 2013 to November 2016, 56 patients were included. Five patients required a TKR within the first 3 years. We compared the basic characteristics (age, gender, BMI, comorbidity, osteoporosis, fracture classification, soft tissue injuries and trauma mechanism) between patients.

Results

Comparing baseline characteristics of the two groups of patients shows a higher rate of females (56.4% vs 80%), a higher BMI (25.9 vs 29.9), a higher rate of patients with diabetes (8% vs 20%), a higher rate of the fracture type AO 41-B1 (8% vs 80%) and a higher rate of soft tissue injuries (46% vs 100%). Age, smoking status and preoperative maximum joint depression were comparable between the two groups.

Conclusions

Female gender, severe comorbidity, obesity, osteopenia, fracture type AO 41-B and soft tissue injuries were associated to early total knee replacements following surgically treated lateral tibial plateau fractures.

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Funding

The authors have no relevant financial or non-financial interests to disclose.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark

    Liselotte Hansen, Peter Larsen & Rasmus Elsoe

  2. Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark

    Peter Larsen

Authors
  1. Liselotte Hansen
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  2. Peter Larsen
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  3. Rasmus Elsoe
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Contributions

Liselotte Hansen contributes to design of the study, data collection, data analyses, writing manuscript, approval of the final version. Peter Larsen contributes to design of the study, data collection, data analyses, writing manuscript, approval of the final version. Rasmus Elsoe contributes to design of the study, data collection, data analyses, writing manuscript, approval of the final version.

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Correspondence to Rasmus Elsoe.

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Conflict of interest

The authors have no conflicts of interest to report.

Ethical approval

The local ethics committee approved the study (N-20170002).

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All participants gave written informed consent.

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Hansen, L., Larsen, P. & Elsoe, R. Characteristics of patients requiring early total knee replacement after surgically treated lateral tibial plateau fractures—A comparative cohort study. Eur J Orthop Surg Traumatol 32, 1097–1103 (2022). https://doi.org/10.1007/s00590-021-03083-0

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  • DOI: https://doi.org/10.1007/s00590-021-03083-0

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