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首页> 外文期刊>The journal of knee surgery >Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures
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Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures

机译：侧胫高原骨折后六个月的动态和膝盖范围

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The purpose of this study is to determine when functional outcome no longer improves following tibial plateau fracture. A patient series of operatively treated tibial plateau fractures was reviewed. Patients were evaluated using the short musculoskeletal function assessment (SMFA), range of motion (ROM) assessment, and pain levels at visual analog scale (VAS) at 3, 6, and 12 months postoperatively. Fractures were classified by the Schatzker's classification using preoperative imaging. The case series was divided into two groups based on fracture patterns. Friedman's tests were conducted to determine if there were differences in SMFA, ROM, or VAS throughout the postoperative course. A total of 117 patients with tibial plateau fractures treated operatively, with complete follow-up and without complication, were identified. Seventy-seven patients (65.8%) sustained lateral tibial plateau fractures (Schatzker's I-III). Friedman's test demonstrated significant differences in SMFA ( p < 0.0005) and ROM ( p < 0.0005) at the three time points. Post hoc analysis demonstrated a significant difference in SMFA ( p < 0.0005) and ROM ( p = 0.003) between 3 and 6 months postoperatively but no significant difference in either metric between 6 and 12 months postoperatively. Friedman's test demonstrated no significant difference in VAS postoperatively ( p = 0.210). Forty patients (34.2%) sustained medial or bicondylar tibial plateau fractures (Schatzker's IV-VI). Friedman's test demonstrated significant differences in SMFA ( p < 0.0005) and ROM ( p < 0.0005) at the three time points. Post hoc analysis demonstrated a strong trend toward significance in SMFA between 3 and 6 months postoperatively ( p = 0.088), and demonstrated a significant difference between 6 and 12 months postoperatively ( p = 0.013). ROM was found to be significantly different between 3 and 6 months postoperatively ( p = 0.010), but no difference was found between 6 and 12 months postoperatively ( p = 0.929). Friedman's test demonstrated no significant difference in VAS postoperatively ( p = 0.941). In this cohort, no significant difference in function, ROM, or pain level exists between 6 and 12 months after treatment of lateral tibial plateau fractures. However, there are significant improvements in function for at least 1 year following medial or bicondylar tibial plateau fractures.
机译：本研究的目的是确定功能结果不再改善胫骨平台骨折。综述了一系列可操作化的胫骨平原骨折。使用短的肌肉骨骼函数评估（SMFA），运动范围（ROM）评估和术后3,6和12个月的视觉模拟量表（VAS）的疼痛水平评估患者。使用术前成像，Schatzker分类骨折分类。案例系列基于骨折图案分为两组。弗里德曼的测试是在术后课程中确定SMFA，ROM或VAS是否存在差异。鉴定了术语，共有117例胫骨平台骨折治疗，具有完整的随访，无需并发症。七十七名患者（65.8％）持续的侧胫高原骨折（Schatzker的I-III）。弗里德曼的测试在三个时间点处表现出SMFA（P <0.0005）和ROM（P <0.0005）的显着差异。后HOC分析显示术后3至6个月的SMFA（P <0.0005）和ROM（P = 0.003）的显着差异，但在术后6至12个月之间没有显着差异。弗里德曼的测试术后展示了VAS没有显着差异（P = 0.210）。四十名患者（34.2％）持续的内侧或双蒙德胫骨平台骨折（Schatzker的IV-VI）。弗里德曼的测试在三个时间点处表现出SMFA（P <0.0005）和ROM（P <0.0005）的显着差异。后HOC分析表明，术后3至6个月的SMFA中的强烈趋势（p = 0.088），并在术后6至12个月之间显示出显着差异（p = 0.013）。术后3至6个月的rom被发现显着差异（p = 0.010），但在术后6至12个月内没有发现差异（p = 0.929）。弗里德曼的测试术后显示VAS没有显着差异（p = 0.941）。在这种队列中，在治疗侧胫高原骨折后6至12个月之间，功能，ROM或疼痛水平没有显着差异。然而，在内侧或双手间隙胫骨平台骨折后至少1年的功能有显着改善。

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