Open tibial plateau fractures: Infection rate and functional outcomes.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Competing Interest None. 18. Eur J Orthop Surg Traumatol. 2024 Feb;34(2):1147-1151. doi: 10.1007/s00590-023-03755-z. Epub 2023 Nov 19. The prone posteromedial approach to the knee revisited: a safe and effective strategy for posterior tibial plateau fractures. Schwartz L(1)(2), Ganta A(1)(2), Konda S(1)(2), Rivero S(1), Egol K(3)(4). Author information: (1)Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, NYU Langone Medical Center, 301 E 17th Street, New York, NY, 10003, USA. (2)Jamaica Hospital Medical Center, Jamaica, Queens, NY, USA. (3)Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, NYU Langone Medical Center, 301 E 17th Street, New York, NY, 10003, USA. Kenneth.Egol@nyulangone.org. (4)Jamaica Hospital Medical Center, Jamaica, Queens, NY, USA. Kenneth.Egol@nyulangone.org. PURPOSE: To compare outcomes of patients with posterior tibial plateau fractures who underwent repair indirectly with an anterior approach to those who underwent direct repair with a prone "Lobenhoffer" operative approach. METHODS: A total of 44 patients with a posterior column tibial plateau fracture that underwent repair were identified. Twenty-two patients with 22 tibial plateau fractures were fixed using a prone Lobenhoffer approach. They were compared to 22 patients treated with an indirect reduction using a supine approach for similar fracture patterns. Data collection at minimum 1 year included: patient-reported outcome scores (SMFA), patient-reported pain, knee range of motion, complications and need for reoperation. Radiographs were reviewed for knee alignment, residual depression and fracture healing. RESULTS: All demographics were similar between the groups except BMI, which was lower in the prone group (P