The functional outcome and complication rates in tibial plateau fractures: A comparison between three different classification systems

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-05-29 DOI:10.1016/j.knee.2025.04.010

Alejandro Sánchez García , David González Quevedo , Miguel Sáez Casado , Diego Moriel Garceso , Laura de la Puerta Migueles , David Montes Molinero , Ignacio Vieitez Riestra , Manuel Marfil Romero , Sergio Palacios Penedo , David García de Quevedo , Iskandar Tamimi

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引用次数: 0

Abstract

Background

Tibial plateau fractures are relatively common injuries, but research comparing the functional outcomes using different classification systems is scarce.

Objectives

This study aimed to analyse complication rates and functional outcomes in tibial plateau fractures by comparing three classification systems: Schatzker, AO/OTA, and the three-column classification system.

Methods

A cross-sectional study was conducted on 125 consecutive tibial plateau fractures treated at our institution between 2016 and 2021. Functional outcomes were assessed using the International Knee Documentation Committee (IKDC) and Oxford Knee scores. Demographic data and information on postoperative complications were obtained from our institutional digital database.

Results

Of the 62 patients who met the inclusion criteria, the most significant functional decline was observed in AO/OTA C3 fractures, and three-column fractures of the tibial plateau (IKDC change: −38.4 ± 28.7; P = 0.004; and –32.2 ± 30.9; P = 0.022, respectively; and Oxford score change: −16.5 ± 14.2; P = 0.005; and −15.2 ± 12.3; P = 0.008; respectively). A strong correlation was found between the AO/OTA classification and the number of complications (R = 0.956, P = 0.005), but no correlation was found between age and functional decline.

Conclusions

Compared with Schatzker’s classification the AO/OTA classification is a better tool for the prediction of the functional outcome and complication rates in patients with tibial plateau fractures. AO/OTA C3 fractures were associated with the highest functional decline. There was no significant correlation between functional decline and the patient’s age.

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胫骨平台骨折的功能结局和并发症发生率：三种不同分类系统的比较

背景胫骨平台骨折是比较常见的损伤，但使用不同的分类系统比较功能结果的研究很少。目的通过比较Schatzker、AO/OTA和三柱分类系统，分析胫骨平台骨折的并发症发生率和功能结局。方法对2016年至2021年在我院连续治疗的125例胫骨平台骨折进行横断面研究。使用国际膝关节文献委员会（IKDC）和牛津膝关节评分评估功能结果。术后并发症的人口统计数据和信息来自我们机构的数字数据库。结果在符合纳入标准的62例患者中，AO/OTA C3骨折和胫骨平台三柱骨折的功能下降最为明显(IKDC变化：−38.4±28.7；p = 0.004；-32.2±30.9；P = 0.022；牛津评分变化：−16.5±14.2；p = 0.005；−15.2±12.3；p = 0.008；分别)。AO/OTA分型与并发症数量有较强相关性（R = 0.956, P = 0.005），年龄与功能下降无相关性。结论与Schatzker分型相比，AO/OTA分型能更好地预测胫骨平台骨折患者的功能结局和并发症发生率。AO/OTA C3骨折与最大的功能下降相关。功能衰退与患者年龄无显著相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.