Incidence and risk factors for decreased range of motion of the knee joint after surgery for closed tibial plateau fracture in adults

Journal of Orthopaedic Surgery and Research

Junzhe Zhang¹  Hongyu Meng¹  Yanbin Zhu¹  Zhucheng Jin¹  Wei Chen¹  Yingze Zhang¹  Kuo Zhao¹  Junyong Li²  Dandan Ye³ 

[1] Department of Orthopaedic surgery, The 3rd Hospital of Hebei Medical University, 050051, Shijiazhuang, Hebei, P. R. China;Key Laboratory of Biomechanics of Hebei Province, 050051, Shijiazhuang, Hebei, P. R. China;Orthopaedic Institution of Hebei Province, 050051, Shijiazhuang, Hebei, P. R. China;NHC Key Laboratory of Intelligent Orthopaedic Equipment, 050051, Shijiazhuang, Hebei, P. R. China;Hebei Orthopedic Clinical Research Center, 050051, Shijiazhuang, Hebei, P. R. China;Department of Orthopaedic surgery, The 3rd Hospital of Hebei Medical University, 050051, Shijiazhuang, Hebei, P. R. China;Key Laboratory of Biomechanics of Hebei Province, 050051, Shijiazhuang, Hebei, P. R. China;Orthopaedic Institution of Hebei Province, 050051, Shijiazhuang, Hebei, P. R. China;NHC Key Laboratory of Intelligent Orthopaedic Equipment, 050051, Shijiazhuang, Hebei, P. R. China;Hebei Orthopedic Clinical Research Center, 050051, Shijiazhuang, Hebei, P. R. China;The First Hospital of Shijiazhuang City, 050000, Shijiazhuang, Hebei, P. R. China;Key Laboratory of Biomechanics of Hebei Province, 050051, Shijiazhuang, Hebei, P. R. China;Orthopaedic Institution of Hebei Province, 050051, Shijiazhuang, Hebei, P. R. China;NHC Key Laboratory of Intelligent Orthopaedic Equipment, 050051, Shijiazhuang, Hebei, P. R. China;Hebei Orthopedic Clinical Research Center, 050051, Shijiazhuang, Hebei, P. R. China;

关键词: Tibial plateau fractures;    Decreased;    Range of motion;    Incidence;    Risk factor;   

DOI  :  10.1186/s13018-021-02700-2

来源: Springer

【 摘 要 】

PurposeThe aim of this study was to quantify the incidence of and identify independent risk factors for decreased range of motion (ROM) of the knee joint after surgery for closed tibial plateau fractures in adults.MethodsThis retrospective study was performed at the trauma centre in our hospital from January 2018 to December 2019. Data from adult patients with tibial plateau fractures treated by surgery were extracted from the electronic medical records. A total of 220 tibial plateau fracture patients were enrolled. We extracted the patients’ demographic characteristics, fracture characteristics, and surgery-related variables. Univariate and multivariate logistic regression models were used to investigate the potential independent risk factors.ResultsFifty-seven patients developed decreased ROM of the knee joint at the 1-year follow-up in this study. The overall incidence was 25.9%. The independent predictors of decreased ROM after surgery, as identified in the multivariate analysis, were orthopedic polytrauma (odds ratio = 3.23; 95% CI = 1.68–6.20; p = 0.000), fracture type (Schatzker V-VI) (odds ratio = 2.52; 95% CI = 1.16–5.47; p = 0.019), and an open reduction and internal fixation approach (odds ratio = 2.10; 95% CI = 1.07–4.12; p = 0.031).ConclusionsThe study confirmed that patients with orthopaedic polytrauma, more complex fractures and those treated with open reduction and internal fixation (ORIF) surgery were more likely to suffer decreased ROM of the knee joint 1 year after surgery.

【 授权许可】

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