Abstract

BARTOLOMEO, César et al. Resultados funcionales y complicaciones de fracturas de platillo tibial por traumatismos de alta energía. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2018, vol.83, n.4, pp.256-267. ISSN 1852-7434.

Introduction: Tibial plateau fractures represent 1% of all fractures. Functional results mainly depend on the range of motion, joint stability and pain. The objective of this study was to evaluate functional results, range of motion, postoperative complications and pain in patients with tibial plateau fractures due to high-energy trauma. Methods: Series of 51 patients (average age, 48 years) with an average follow-up of 42 months. Range of motion, functional results using KOOS scale and pain with visual analogue scale were evaluated. Results: A total of 25 patients had Schatzker type V fractures and 26 suffered type VI fractures. Average range of motion was 2.4º-120.68º in patients with type V fractures, and 1.5º-118.04º in the other group. As regards pain, significant differences were found (p=0.0403) in patients with types V and VI fractures: 50% of those with type V fractures did not report pain, and 50% of those with type VI fractures indicated pain >2 and 25% referred pain >3. Conclusions: Tibial plateau fractures are a condition where results modify considerably the quality of life. Therefore, patients should be informed about the possibility of bad long-term functional results and multiple surgeries. They must also be warned that it is possible that previous level of sports and work activity will be possibly not achieved.

Keywords : Tibial plateau fractures; Schatzker types V-VI; Range of motion; Pain; Complications.

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