$comminuted fracture tibia$

$comminuted fracture tibia$

#Comminuted fracture tibia professional#

Since the clinical outcome after tibial plateau fractures is closely related to the quality of the reduction, each surgical technique must aim for an anatomic reconstruction of the injured joint. The fracture patterns range from non-displaced split fractures and slightly or severely displaced depression fractures to complex comminuted fractures with severe destruction of the joint lines and cartilage lesions.

#Comminuted fracture tibia professional#

Since a notable number of patients sustaining tibial plateau fractures are young, active and in the middle of their working life, these injuries may have a profound effect on the individual’s professional career. Tibial plateau fractures are severe joint injuries of the lower extremity. The post-injury shift to less demanding jobs and the reduction of working hours highlight the impact of a tibial plateau fracture on a patient’s subsequent physical ability to work. ConclusionĪ relationship was found between workload and the duration of incapacity of work after tibial plateau fractures. All patients received postoperative physiotherapy (median 25 appointments, range 6–330), with a significant higher number of appointments for C-type-fractures than for B-type-fractures ( p = 0.004). The median Lysholm score decreased significantly from 100 points (range 69–100) before the injury to 73 points (range 23–100) at the time of the follow-up. Patients with low workload (REFA 0–1, median incapacity of work 90 days, range 10–390 days) had a significant shorter incapacity of work than patients with heavy workload (REFA 2–4, median incapacity of work 180 days, range 90–700 days) ( p < 0.05). Four (10.3%) patients reduced their working hours by 10.5 h per week on average. The median incapacity of work was 120 days (range 10–700 days) with no significant differences between B- and C-type-fractures. According to the AO classification there were 20 (51.3%) B-type-fractures and 19 (48.7%) C-type-fractures. The patients themselves provided postoperative duration of the incapacity of work and subjective ratings. Intensity of work was classified as established by the REFA Association. Fractures were classified and analyzed using the AO classification. The clinical evaluation included the Lysholm score and the Oxford Knee Score. Inclusion criteria were surgical treatment of tibial plateau fractures between November 2009 and December 2012. Methodsģ9 consecutive patients (ages 20–61 years) were retrospectively included in the study and were clinically examined at a minimum of 14 month postoperatively. The aim of this study was to assess how the professional activity of patients will be affected after a tibial plateau fracture. Tibial plateau fractures have an impact not only on physically demanding jobs but notably on general professional life too. Tibial plateau fractures requiring surgery are severe injuries of the lower extremity.

$comminuted fracture tibia$