Researchers Evaluated Risk factors for Tibial Plateau Fractures

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Researchers Evaluated Risk factors for Tibial Plateau Fractures

In a recent research study published in "The Journal of Knee Surgery," the investigators found similar joint replacement rate as mentioned in the published literature that centered only on the prevalence of conventional total knee arthroplasty (TKA). Tobacco was found to be the significant risk factor associated with the failure following tibial plateau open reduction and internal fixation (ORIF). Also, patients who were treated with an osteochondral allograft (OCA) transplantation were younger at time of injury and failure.

Orthopedic surgeons are often confused that the patients with tibial plateau fractures will possibly develop posttraumatic knee arthritis demanding TKA. OCA transplantation is a promising alternative to address posttraumatic knee arthritis in younger subjects.

The 10-year retrospective review study conducted by Oladeji LO and colleagues aimed to recognize the failure rate (failure was reported as conversion to TKA or OCA) following tibial plateau ORIF, to determine the patient- or injury-related risk factors predictive of failure; and to distinguish differences between patients operated with TKA compared with the patients treated with OCA transplantation. The criteria for inclusion were patients of at least 18 years of age with an articular fracture.  Subsequent ipsilateral OCA or TKA was the primary endpoint.  A total of 350 patients (359 tibial plateau fractures) met the inclusion criteria. Twenty-seven fractures (7.5%) were finally converted to a TKA or OCA at an average of 3.75 ± 3.1 years after their initial surgery. The probability of joint replacement requirement was 2.3 more times higher in patients who consumed tobacco. Patients treated with OCAs were significantly younger in comparison to the patients who underwent TKA, both at the time of initial injury and at time of surgery.


J Knee Surg

Link to the source:

The original title of the article:

Total Knee Arthroplasty versus Osteochondral Allograft: Prevalence and Risk Factors following Tibial Plateau Fractures


Lasun; O. et al.

Therapeutic, Tibial plateau fracture, Osteochondral allograft, Posttraumatic arthritis, Total knee replacement , Smoking, Retrospective review.
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