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Lim, Jiang An, West, Cavan, Lim, Jiang Rong, Thahir, Azeem, Krkovic, Matija. (1402). Conservative Management of Varus/Valgus Stable Tibial Plateau Fractures in Osteoporotic Bone – Preliminary Results and Considerations. , 11(4), 270-277. doi: 10.22038/abjs.2023.62563.3044
Jiang An Lim; Cavan West; Jiang Rong Lim; Azeem Thahir; Matija Krkovic. "Conservative Management of Varus/Valgus Stable Tibial Plateau Fractures in Osteoporotic Bone – Preliminary Results and Considerations". , 11, 4, 1402, 270-277. doi: 10.22038/abjs.2023.62563.3044
Lim, Jiang An, West, Cavan, Lim, Jiang Rong, Thahir, Azeem, Krkovic, Matija. (1402). 'Conservative Management of Varus/Valgus Stable Tibial Plateau Fractures in Osteoporotic Bone – Preliminary Results and Considerations', , 11(4), pp. 270-277. doi: 10.22038/abjs.2023.62563.3044
Lim, Jiang An, West, Cavan, Lim, Jiang Rong, Thahir, Azeem, Krkovic, Matija. Conservative Management of Varus/Valgus Stable Tibial Plateau Fractures in Osteoporotic Bone – Preliminary Results and Considerations. , 1402; 11(4): 270-277. doi: 10.22038/abjs.2023.62563.3044

Conservative Management of Varus/Valgus Stable Tibial Plateau Fractures in Osteoporotic Bone – Preliminary Results and Considerations

The Archives of Bone and Joint Surgery
مقاله 8، دوره 11، شماره 4، تیر 2023، صفحه 270-277    اصل مقاله (1.07 M)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2023.62563.3044
نویسندگان
Jiang An Lim* 1؛ Cavan West2؛ Jiang Rong Lim3؛ Azeem Thahir4؛ Matija Krkovic4
1Department of Trauma and Orthopeadics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, United Kingdom- Department of Trauma and Orthopeadics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, United Kingdom
2Department of Trauma and Orthopedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, United Kingdom - School of Clinical Medicine, University Of Cambridge, Cambridge, United Kingdom
3Department of Trauma and Orthopeadics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, United Kingdom- University of Liverpool Medical School, Cedar House, Ashton St, Liverpool, L69 3GE, United Kingdom
4Department of Trauma and Orthopeadics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, United Kingdom
چکیده
Objectives: While operative fixation is the current recommendation for treating significantly displaced 
tibial plateau fractures (DTPFs) in elderly patients, our research suggests that non -operative 
management may also be a viable option as the primary treatment for these individuals. Our study 
aimed to evaluate the clinical outcomes of patients with complex DTPFs who received non-operative 
management as their primary management.
Methods: Our study involved a retrospective analysis of non-operatively treated DTPFs during the period of 2019 
to 2020. We included all patients for the evaluation of fracture healing and range of motion (ROM). Additionally, 
we conducted functional outcome assessments on all patients, utilizing the Oxford Knee Score (OKS) both before 
their injury and at the 10-month mark after their injury.
Results: The study included 10 patients, comprising two males and eight females, with a mean age of 62.9 years 
(range: 46-74). Among them, four patients had Schatzker Type III DTPFs, two had Type V, and four had Type VI. 
Non-operative management was administered using hinged-knee braces, and patients progressed to weightbearing gradually, with a minimum follow-up period of 10 months. The average time to bone union was 4.3 months 
(range: 2-7). The mean Oxford Knee Score (OKS) after the injury was 38.8 (range: 23-45), with an average 
reduction of 16.9% (p = 0.003). The average fracture depression was 11.41 mm (range: 4.2-29), and the average 
fracture split was 14.03 mm (range: 5.5-44).
Conclusion: Based on our study, it appears that elderly patients with significantly displaced tibial plateau 
fractures (DTPFs) can be treated non-operatively as their primary management, despite the current consensus 
suggesting otherwise.
 Level of evidence: IV
کلیدواژه‌ها
Elderly؛ Non-operative management Orthopaedic Surgery؛ Tibial plateau fractures
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