naa a22 4500 510818609 CHVBK 20180411083520.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s12306-012-0237-9 doi (NATIONALLICENCE)springer-10.1007/s12306-012-0237-9 Risk analysis in tibial plateau fractures: association between severity, treatment and clinical outcome [Elektronische Daten] [Pietro Persiani, Michele Gurzì, Marica Di Domenica, Stefano Rosi, Dario Attala, Ciro Villani] Our retrospective study analyzes efficacy of treatment techniques we used for the reduction of tibial plateau fracture. A sample of 67 individuals is evaluated, 50 males and 17 females, and treated for a tibial plateau fracture from December 2003 to June 2008. The mean age is 46 (range 22-72). 35 patients were treated with cannulated screws alone, 21 were treated with plates alone, and 11 were treated with both plates and bone substitutes. All patients were clinically and radiographically followed up for an average time of 36.4months (SD=17.4; range 24-72). Data about patients sourced from the analysis of SF36, WOMAC and the Rasmussen score. Patients were divided into 4 groups and 2 subgroups, according to the synthesis method used and the severity of the fracture. The control group includes the patients diagnosed with a low-energy fracture treated with screws alone. The median of the total score of Rasmussen functional grading system resulted to be equal to 26; compared with the control group, there is strong relationship between the use of plates alone and the risk of obtaining a clinically less effective result (O.R.=5.48; p=0.003) even more when comparing Schatzker type IV, V, and VI (O.R.=13; p=0.0073). Radiographic evaluation shows less efficacy of bone substitute to reduce articular step-off. With regard to the SF36, patients treated with plate alone have been awarded the lowest score. The treatment of the most severe fractures of tibial plateau by means of internal fixation with plates can be improved with the use of bone substitutes. Istituti Ortopedici Rizzoli, 2012 Retrospective study nationallicence ORIF nationallicence Bone substitute nationallicence Rasmussen functional grading system nationallicence Persiani Pietro Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut Gurzì Michele Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut Di Domenica Marica Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut Rosi Stefano Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut Attala Dario Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut Villani Ciro Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97/2(2013-08-01), 131-136 2035-5106 97:2<131 2013 97 12306 https://doi.org/10.1007/s12306-012-0237-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-012-0237-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Persiani Pietro Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut NATIONALLICENCE 700 1- Gurzì Michele Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut NATIONALLICENCE 700 1- Di Domenica Marica Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut NATIONALLICENCE 700 1- Rosi Stefano Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut NATIONALLICENCE 700 1- Attala Dario Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut NATIONALLICENCE 700 1- Villani Ciro Department of Orthopaedics and Traumatology, Umberto I Hospital, "Sapienza” University, Piazzale Aldo Moro n° 5, Rome, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/2(2013-08-01), 131-136 2035-5106 97:2<131 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer