Bone metabolism is a key factor for clinical outcome of tibial plateau fractures.
Bone metabolism
Failure analysis
Follow-up
Ten-segment classification
Tibial plateau fracture
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
24
05
2020
accepted:
28
10
2020
pubmed:
6
11
2020
medline:
23
6
2021
entrez:
5
11
2020
Statut:
ppublish
Résumé
Given that tibial plateau fractures (TPF) are rare, they may pose a challenge to the treating surgeon due to their variety of complex fracture patterns. Numerous studies have identified potential fracture-specific, surgery-related, and patient-related risk factors for impaired patient outcomes. However, reports on the influence of bone metabolism on functional outcomes are missing. In a retrospective multicenter cohort study, 122 TPF of 121 patients were analyzed with respect to radiological and clinical outcomes (Rasmussen) with a mean follow-up of 35.7 ± 24.9 months. The risk factor assessment included bone metabolism-affecting comorbidities and medication. The findings showed that 95.9% of the patients reported a good-to-excellent clinical outcome, and 97.4% reported a good-to-excellent radiological outcome. Logistic regression revealed that potentially impaired bone metabolism (IBM) was an independent risk factor for the clinical (p = 0.016) but not the radiological outcome (Table 4). Patients with 41-type B fractures and a potential IBM had a seven times higher risk to present a fair-to-poor clinical outcome [OR 7.45, 95 CI (4.30, 12.92)]. The most common objective impairment was a limited range of motion in 16.4% of the patients, especially in 41-type C fractures (p = 0.06). The individual failure analysis additionally identified surgery-related options for improvement. This study demonstrated that potential IBM was an independent risk factor for a poor-to-fair clinical outcome.
Identifiants
pubmed: 33151357
doi: 10.1007/s00068-020-01537-4
pii: 10.1007/s00068-020-01537-4
pmc: PMC7691299
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1227-1237Références
Krause M, Preiss A, Muller G, Madert J, Fehske K, Neumann MV, et al. Intra-articular tibial plateau fracture characteristics according to the “Ten segment classification.” Injury. 2016;47(11):2551–7. https://doi.org/10.1016/j.injury.2016.09.014 .
doi: 10.1016/j.injury.2016.09.014
pubmed: 27616003
Hoekstra H, Kempenaers K, Nijs S. A revised 3-column classification approach for the surgical planning of extended lateral tibial plateau fractures. Eur J Trauma EmergSurg. 2017;43(5):637–43. https://doi.org/10.1007/s00068-016-0696-z .
doi: 10.1007/s00068-016-0696-z
Patzold R, Friederichs J, von Ruden C, Panzer S, Buhren V, Augat P. The pivotal role of the coronal fracture line for a new three-dimensional CT-based fracture classification of bicondylar proximal tibial fractures. Injury. 2017;48(10):2214–20. https://doi.org/10.1016/j.injury.2017.06.019 .
doi: 10.1016/j.injury.2017.06.019
pubmed: 28711171
Wang Y, Luo C, Zhu Y, Zhai Q, Zhan Y, Qiu W, et al. Updated three-column concept in surgical treatment for tibial plateau fractures: a prospective cohort study of 287 patients. Injury. 2016;47(7):1488–96. https://doi.org/10.1016/j.injury.2016.04.026 .
doi: 10.1016/j.injury.2016.04.026
pubmed: 27211226
Frosch KH, Korthaus A, Thiesen D, Frings J, Krause M. The concept of direct approach to lateral tibial plateau fractures and stepwise extension as needed. Eur J Trauma EmergSurg. 2020. https://doi.org/10.1007/s00068-020-01422-0 .
doi: 10.1007/s00068-020-01422-0
Quintens L, Van den Berg J, Reul M, Van Lieshout E, Nijs S, Verhofstad M, et al. Poor sporting abilities after tibial plateau fractures involving the posterior column: how can we do better? Eur J Trauma EmergSurg. 2019. https://doi.org/10.1007/s00068-019-01220-3 .
doi: 10.1007/s00068-019-01220-3
van den Berg J, Nijs S, Hoekstra H. Limited value of the column concept in the operative management of posterior column tibial plateau fractures. Eur J Trauma EmergSurg. 2019. https://doi.org/10.1007/s00068-019-01078-5 .
doi: 10.1007/s00068-019-01078-5
Rohra N, Suri HS, Gangrade K. Functional and radiological outcome of schatzker type V and VI tibial plateau fracture treatment with dual plates with minimum 3 years follow-up: a prospective study. J ClinDiagn Res. 2016;10:5. https://doi.org/10.7860/JCDR/2016/18732.7855 (RC05-10).
doi: 10.7860/JCDR/2016/18732.7855
Rademakers MV, Kerkhoffs GM, Sierevelt IN, Raaymakers EL, Marti RK. Operative treatment of 109 tibial plateau fractures: five- to 27-year follow-up results. J Orthop Trauma. 2007;21(1):5–10. https://doi.org/10.1097/BOT.0b013e31802c5b51 .
doi: 10.1097/BOT.0b013e31802c5b51
pubmed: 17211262
Hap DXF, Kwek EBK. Functional outcomes after surgical treatment of tibial plateau fractures. J ClinOrthop Trauma. 2020;11(Suppl 1):S11–5. https://doi.org/10.1016/j.jcot.2019.04.007 .
doi: 10.1016/j.jcot.2019.04.007
Parkkinen M, Lindahl J, Makinen TJ, Koskinen SK, Mustonen A, Madanat R. Predictors of osteoarthritis following operative treatment of medial tibial plateau fractures. Injury. 2018;49(2):370–5. https://doi.org/10.1016/j.injury.2017.11.014 .
doi: 10.1016/j.injury.2017.11.014
pubmed: 29157843
Honkonen SE. Indications for surgical treatment of tibial condyle fractures. ClinOrthopRelat Res. 1994;302:199–205.
Singleton N, Sahakian V, Muir D. Outcome after tibial plateau fracture: how important is restoration of articular congruity? J Orthop Trauma. 2017;31(3):158–63. https://doi.org/10.1097/BOT.0000000000000762 .
doi: 10.1097/BOT.0000000000000762
pubmed: 27984441
Prasad GT, Kumar TS, Kumar RK, Murthy GK, Sundaram N. Functional outcome of Schatzker type V and VI tibial plateau fractures treated with dual plates. Indian J Orthop. 2013;47(2):188–94. https://doi.org/10.4103/0019-5413.108915 .
doi: 10.4103/0019-5413.108915
pubmed: 23682182
pmcid: 3654470
Baumlein M, Hanke A, Gueorguiev B, Nerlich M, Liodakis E, Perren T, et al. Long-term outcome after surgical treatment of intra-articular tibial plateau fractures in skiers. Arch Orthop Trauma Surg. 2019;139(7):951–9. https://doi.org/10.1007/s00402-019-03150-6 .
doi: 10.1007/s00402-019-03150-6
pubmed: 30864087
Hong G, Huang X, Lv T, Li X. An analysis on the effect of the three-incision combined approach for complex fracture of tibial plateau involving the posterolateraltibial plateau. J OrthopSurg Res. 2020;15(1):43. https://doi.org/10.1186/s13018-020-1572-4 .
doi: 10.1186/s13018-020-1572-4
Dincel YM, Oner A, Arikan Y, Caglar S, Ozcafer R, Gulec MA. Effect of BMI on outcomes of surgical treatment for tibial plateau fractures: a comparative retrospective case series study. Chin J Traumatol. 2018;21(2):104–8. https://doi.org/10.1016/j.cjtee.2017.10.005 .
doi: 10.1016/j.cjtee.2017.10.005
pubmed: 29598844
pmcid: 5911733
Gorter EA, Krijnen P, Schipper IB. Vitamin D status and adult fracture healing. J ClinOrthop Trauma. 2017;8(1):34–7. https://doi.org/10.1016/j.jcot.2016.09.003 .
doi: 10.1016/j.jcot.2016.09.003
Zhu H, Zhang J, Wang J, Zhao X, Gu M. Association of subclinical thyroid dysfunction with bone mineral density and fracture: a meta-analysis of prospective cohort studies. Endocrine. 2020;67(3):685–98. https://doi.org/10.1007/s12020-019-02110-9 .
doi: 10.1007/s12020-019-02110-9
pubmed: 31721088
Vilaca T, Salam S, Schini M, Harnan S, Sutton A, Poku E, et al. Risks of hip and nonvertebral fractures in patients with CKD G3a–G5D: a systematic review and meta-analysis. Am J Kidney Dis. 2020. https://doi.org/10.1053/j.ajkd.2020.02.450 .
doi: 10.1053/j.ajkd.2020.02.450
pubmed: 32654892
Hill NR, Fatoba ST, Oke JL, Hirst JA, O’Callaghan CA, Lasserson DS, et al. Global prevalence of chronic kidney disease: a systematic review and meta-analysis. PLoS ONE. 2016;11(7):e0158765. https://doi.org/10.1371/journal.pone.0158765 .
doi: 10.1371/journal.pone.0158765
pubmed: 27383068
pmcid: 4934905
Cashman KD, Dowling KG, Skrabakova Z, Gonzalez-Gross M, Valtuena J, De Henauw S, et al. Vitamin D deficiency in Europe: pandemic? Am J ClinNutr. 2016;103(4):1033–44. https://doi.org/10.3945/ajcn.115.120873 .
doi: 10.3945/ajcn.115.120873
Blum MR, Bauer DC, Collet TH, Fink HA, Cappola AR, da Costa BR, et al. Subclinical thyroid dysfunction and fracture risk: a meta-analysis. JAMA. 2015;313(20):2055–65. https://doi.org/10.1001/jama.2015.5161 .
doi: 10.1001/jama.2015.5161
pubmed: 26010634
pmcid: 4729304
Looker AC, Orwoll ES, Johnston CC Jr, Lindsay RL, Wahner HW, Dunn WL, et al. Prevalence of low femoral bone density in older U.S. adults from NHANES III. J Bone Miner Res. 1997;12(11):1761–8. https://doi.org/10.1359/jbmr.1997.12.11.1761 .
doi: 10.1359/jbmr.1997.12.11.1761
pubmed: 9383679
AWMF. Prophylaxis, diagnosis and therapy of osteoporosis. 2019. Register number: AWMF-Register-Nr.: 183/001. https://www.awmf.org/uploads/tx_szleitlinien/183-001l_S3_Osteoporose-Prophylaxe-Diagnostik-Therapie_2019-02.pdf
Krause M, Preiss A, Meenen NM, Madert J, Frosch KH. “Fracturoscopy” is superior to fluoroscopy in the articular reconstruction of complex tibial plateau fractures-an arthroscopy assisted fracture reduction technique. J Orthop Trauma. 2016;30(8):437–44. https://doi.org/10.1097/BOT.0000000000000569 .
doi: 10.1097/BOT.0000000000000569
pubmed: 26978133
Krause M, Frosch KH. Response to the letter-to-the-editor by Dhillon et al. “Simple four column classification can dictate treatment for intra articular tibial plateau fractures much better than ten segment classification”, Injury 2017. Injury. 2017;48(10):2369–70. https://doi.org/10.1016/j.injury.2017.07.040 .
doi: 10.1016/j.injury.2017.07.040
pubmed: 28784254
Krause M, Menzdorf L, Preiss A, Frosch KH. Are there four tibial plateau columns? Yes there are, as illustrated by a postero-lateral apple-bite fracture. Response to a letter-to-the-editor. IntOrthop. 2018;42(2):443–6. https://doi.org/10.1007/s00264-017-3686-9 .
doi: 10.1007/s00264-017-3686-9
Krause M, Kruger S, Muller G, Puschel K, Frosch KH. How can the articular surface of the tibial plateau be best exposed? A comparison of specific surgical approaches. Arch Orthop Trauma Surg. 2019. https://doi.org/10.1007/s00402-019-03200-z .
doi: 10.1007/s00402-019-03200-z
pubmed: 31101980
Krause M, Muller G, Frosch KH. Surgical approaches to tibial plateau fractures. Unfallchirurg. 2018. https://doi.org/10.1007/s00113-018-0515-6 .
doi: 10.1007/s00113-018-0515-6
pubmed: 30402690
Krause M, Muller G, Frosch KH. Extended medial and extended lateral approach for tibial plateau fractures. OperOrthopTraumatol. 2019;31(2):127–42. https://doi.org/10.1007/s00064-019-0593-9 .
doi: 10.1007/s00064-019-0593-9
Rasmussen PS. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment. J Bone JtSurg Am. 1973;55(7):1331–50.
doi: 10.2106/00004623-197355070-00001
Chan YS, Chiu CH, Lo YP, Chen AC, Hsu KY, Wang CJ, et al. Arthroscopy-assisted surgery for tibial plateau fractures: 2- to 10-year follow-up results. Arthroscopy. 2008;24(7):760–8. https://doi.org/10.1016/j.arthro.2008.02.017 .
doi: 10.1016/j.arthro.2008.02.017
pubmed: 18589264
Eggli S, Hartel MJ, Kohl S, Haupt U, Exadaktylos AK, Roder C. Unstable bicondylartibial plateau fractures: a clinical investigation. J Orthop Trauma. 2008;22(10):673–9. https://doi.org/10.1097/BOT.0b013e31818b1452 .
doi: 10.1097/BOT.0b013e31818b1452
pubmed: 18978541
Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(3):266–81. https://doi.org/10.1056/NEJMra070553 .
doi: 10.1056/NEJMra070553
pubmed: 17634462
Weigel DP, Marsh JL. High-energy fractures of the tibial plateau. Knee function after longer follow-up. J Bone JtSurg Am. 2002;84(9):1541–51. https://doi.org/10.2106/00004623-200209000-00006 .
doi: 10.2106/00004623-200209000-00006
Song Z, Wang Q, Ma T, Wang C, Yang N, Xue H, et al. Failure analysis of primary surgery and therapeutic strategy of revision surgery for complex tibial plateau fractures. J OrthopSurg Res. 2019;14(1):110. https://doi.org/10.1186/s13018-019-1147-4 .
doi: 10.1186/s13018-019-1147-4
van Dreumel RL, van Wunnik BP, Janssen L, Simons PC, Janzing HM. Mid- to long-term functional outcome after open reduction and internal fixation of tibial plateau fractures. Injury. 2015;46(8):1608–12. https://doi.org/10.1016/j.injury.2015.05.035 .
doi: 10.1016/j.injury.2015.05.035
pubmed: 26071324
Richardson J, Hill AM, Johnston CJ, McGregor A, Norrish AR, Eastwood D, et al. Fracture healing in HIV-positive populations. J Bone JtSurg Br. 2008;90(8):988–94. https://doi.org/10.1302/0301-620X.90B8.20861 .
doi: 10.1302/0301-620X.90B8.20861
Young B, Dao CN, Buchacz K, Baker R, Brooks JT, Investigators HIVOS. Increased rates of bone fracture among HIV-infected persons in the HIV outpatient study (HOPS) compared with the US general population, 2000–2006. Clin Infect Dis. 2011;52(8):1061–8. https://doi.org/10.1093/cid/ciq242 .
doi: 10.1093/cid/ciq242
pubmed: 21398272
Brown TT, Qaqish RB. Antiretroviral therapy and the prevalence of osteopenia and osteoporosis: a meta-analytic review. AIDS. 2006;20(17):2165–74. https://doi.org/10.1097/QAD.0b013e32801022eb .
doi: 10.1097/QAD.0b013e32801022eb
pubmed: 17086056
Negredo E, Domingo P, Perez-Alvarez N, Gutierrez M, Mateo G, Puig J, et al. Improvement in bone mineral density after switching from tenofovir to abacavir in HIV-1-infected patients with low bone mineral density: two-centre randomized pilot study (OsteoTDF study). J AntimicrobChemother. 2014;69(12):3368–71. https://doi.org/10.1093/jac/dku300 .
doi: 10.1093/jac/dku300
Schinke T, Schilling AF, Baranowsky A, Seitz S, Marshall RP, Linn T, et al. Impaired gastric acidification negatively affects calcium homeostasis and bone mass. Nat Med. 2009;15(6):674–81. https://doi.org/10.1038/nm.1963 .
doi: 10.1038/nm.1963
pubmed: 19448635
Yang YX, Lewis JD, Epstein S, Metz DC. Long-term proton pump inhibitor therapy and risk of hip fracture. JAMA. 2006;296(24):2947–53. https://doi.org/10.1001/jama.296.24.2947 .
doi: 10.1001/jama.296.24.2947
pubmed: 17190895
Krause M, Keller J, Beil B, van Driel I, Zustin J, Barvencik F, et al. Calcium gluconate supplementation is effective to balance calcium homeostasis in patients with gastrectomy. OsteoporosInt. 2015;26(3):987–95. https://doi.org/10.1007/s00198-014-2965-1 .
doi: 10.1007/s00198-014-2965-1
Yeh JH, Chen HJ, Chen YK, Chiu HC, Kao CH. Increased risk of osteoporosis in patients with myasthenia gravis: a population-based cohort study. Neurology. 2014;83(12):1075–9. https://doi.org/10.1212/WNL.0000000000000804 .
doi: 10.1212/WNL.0000000000000804
pubmed: 25122205
Chiavarini M, Naldini G, Fabiani R. The role of diet in osteoporotic fracture healing: a systematic review. CurrOsteoporos Rep. 2020. https://doi.org/10.1007/s11914-020-00573-8 .
doi: 10.1007/s11914-020-00573-8
Reid IR, Bolland MJ. Calcium and/or vitamin D supplementation for the prevention of fragility fractures: who needs it? Nutrients. 2020;12:4. https://doi.org/10.3390/nu12041011 .
doi: 10.3390/nu12041011
Meulenkamp B, Martin R, Desy NM, Duffy P, Korley R, Puloski S, et al. Incidence, risk factors, and location of articular malreductions of the tibial plateau. J Orthop Trauma. 2017;31(3):146–50. https://doi.org/10.1097/BOT.0000000000000735 .
doi: 10.1097/BOT.0000000000000735
pubmed: 27755337
Warner SJ, Garner MR, Schottel PC, Fabricant PD, Thacher RR, Loftus ML, et al. The effect of soft tissue injuries on clinical outcomes after tibial plateau fracture fixation. J Orthop Trauma. 2018;32(3):141–7. https://doi.org/10.1097/BOT.0000000000001042 .
doi: 10.1097/BOT.0000000000001042
pubmed: 29065035
Cinque ME, Godin JA, Moatshe G, Chahla J, Kruckeberg BM, Pogorzelski J, et al. Do tibial plateau fractures worsen outcomes of knee ligament injuries? A matched cohort analysis. Orthop J Sports Med. 2017;5(8):2325967117723895. https://doi.org/10.1177/2325967117723895 .
doi: 10.1177/2325967117723895
pubmed: 28840154
pmcid: 5560511
Christiano AV, Pean CA, Kugelman DN, Konda SR, Egol KA. Function and knee range of motion plateau six months following lateral tibial plateau fractures. J Knee Surg. 2019. https://doi.org/10.1055/s-0039-1678676 .
doi: 10.1055/s-0039-1678676
pubmed: 30812043
Reahl GB, Marinos D, O’Hara NN, Howe A, Degani Y, Wise B, et al. Risk factors for knee stiffness surgery after tibial plateau fracture fixation. J Orthop Trauma. 2018;32(9):e339–43. https://doi.org/10.1097/BOT.0000000000001237 .
doi: 10.1097/BOT.0000000000001237
pubmed: 30130306
Kugelman DN, Qatu AM, Strauss EJ, Konda SR, Egol KA. Knee stiffness after tibial plateau fractures: predictors and outcomes (OTA-41). J Orthop Trauma. 2018;32(11):e421–7. https://doi.org/10.1097/BOT.0000000000001304 .
doi: 10.1097/BOT.0000000000001304
pubmed: 30277989
Korthaus A, Ballhause TM, Kolb JP, Krause M, Frosch KH, Hartel MJ. Extended approach to the lateral tibial plateau with central meniscal subluxation in fracture repair: feasibility and first clinical and radiographic results. Eur J Trauma EmergSurg. 2020. https://doi.org/10.1007/s00068-020-01467-1 .
doi: 10.1007/s00068-020-01467-1