Survival and Clinical Outcomes after Unconstrained Total Knee Arthroplasty for Tibial Plateau Fractures-A Retrospective Study with Minimum 4-Year Follow-Up
This study investigated survival, complications, revisions, and patient-reported outcomes (PROs) for unconstrained total knee arthroplasty (TKA) in posttraumatic osteoarthritis (PTO) caused by intraarticular tibial plateau fractures with minimum four years follow-up. Forty-nine patients (71.4% male;...
Gespeichert in:
| Veröffentlicht in: | Journal of clinical medicine 2023-11, Vol.12 (23), p.7303 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 23 |
| container_start_page | 7303 |
| container_title | Journal of clinical medicine |
| container_volume | 12 |
| creator | Nolte, Philip-C Schlentrich, Kim Raisch, Philipp Jung, Matthias K Grützner, Paul A Bischel, Oliver |
| description | This study investigated survival, complications, revisions, and patient-reported outcomes (PROs) for unconstrained total knee arthroplasty (TKA) in posttraumatic osteoarthritis (PTO) caused by intraarticular tibial plateau fractures with minimum four years follow-up. Forty-nine patients (71.4% male; 58.7 years) were included. Kaplan-Meier analysis was performed with failure defined as TKA removal. Patients without failure underwent pre- and postoperative evaluation (range of motion (ROM), Oxford Knee Score (OKS), Knee Society Score (KSS), anatomical femorotibial angle (aFTA), proximal tibial slope (PTS)) and Short Form-12 (SF-12) Physical (PCS) and Mental Component Summary (MCS) assessment at final follow-up. Fifteen (30.6%) patients had a complication, and eight (16.3%) patients underwent prosthesis removal at median 2.5 years. Cumulative survival rate of TKA was 79.6% at 20 years. A total of 32 patients with a mean follow-up of 11.8 years underwent further analyses. ROM (
0.028), aFTA (
= 0.044), pPS (
= 0.009), OKS (
< 0.001) and KSS (
< 0.001) improved significantly. SF-12 PCS was 42.3 and MCS was 54.4 at final follow-up. In general, one third of patients suffer a complication, and one in six patients has their prosthesis removed after TKA for PTO due to tibial plateau fractures. In patients who do not fail, TKA significantly improves clinical and radiographic outcomes at long-term follow-up. |
| doi_str_mv | 10.3390/jcm12237303 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2902950963</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A775890557</galeid><sourcerecordid>A775890557</sourcerecordid><originalsourceid>FETCH-LOGICAL-c379t-106746c5e01804a136cc2c47159704c2bd65b3eea32b7dae6a9d65ce55bb244d3</originalsourceid><addsrcrecordid>eNptkk1v1DAQhi1ERavSE3dkiQsSSnHsOI6PqxULiKJWdPfAKXKcCfXKiYM_ttrfwp_FqxZoUT0He8bPjEevB6FXJTlnTJL3Wz2WlDLBCHuGTigRoiCsYc8fnI_RWQhbklfTVLQUL9Axa0jdMM5P0K_r5HdmpyxWU4-X1kxGZ-cyRe1GCFgNETzeTNpNIXplJujx2sWMfJkA8MLHG-9mq0Lc48F5vDadyZdXVkVQCa-80jF5CMUCf4PoXZhBR7MDfB1Tv8e3Jt7gr_nRMY24Kr6D8njlrHW3xWZ-iY4GZQOc3e-naLP6sF5-Ki4uP35eLi4KzYSMRUlqUdWaAykbUqmS1VpTXYmSS0EqTbu-5h0DUIx2oldQK5kjGjjvOlpVPTtFb-_qzt79TBBiO5qgwVo1gUuhpZJQyYmsWUbf_IduXfJT7q6ljZRVXVIp_lE_lIXWTIPL0ulD0XYhBG8k4fxAnT9BZethNFlvGEyOP0p4d5egs47Bw9DO3ozK79uStIdpaB9MQ6Zf37eauhH6v-yfv2e_ASJ_r0k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2899461297</pqid></control><display><type>article</type><title>Survival and Clinical Outcomes after Unconstrained Total Knee Arthroplasty for Tibial Plateau Fractures-A Retrospective Study with Minimum 4-Year Follow-Up</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PubMed Central</source><creator>Nolte, Philip-C ; Schlentrich, Kim ; Raisch, Philipp ; Jung, Matthias K ; Grützner, Paul A ; Bischel, Oliver</creator><creatorcontrib>Nolte, Philip-C ; Schlentrich, Kim ; Raisch, Philipp ; Jung, Matthias K ; Grützner, Paul A ; Bischel, Oliver</creatorcontrib><description>This study investigated survival, complications, revisions, and patient-reported outcomes (PROs) for unconstrained total knee arthroplasty (TKA) in posttraumatic osteoarthritis (PTO) caused by intraarticular tibial plateau fractures with minimum four years follow-up. Forty-nine patients (71.4% male; 58.7 years) were included. Kaplan-Meier analysis was performed with failure defined as TKA removal. Patients without failure underwent pre- and postoperative evaluation (range of motion (ROM), Oxford Knee Score (OKS), Knee Society Score (KSS), anatomical femorotibial angle (aFTA), proximal tibial slope (PTS)) and Short Form-12 (SF-12) Physical (PCS) and Mental Component Summary (MCS) assessment at final follow-up. Fifteen (30.6%) patients had a complication, and eight (16.3%) patients underwent prosthesis removal at median 2.5 years. Cumulative survival rate of TKA was 79.6% at 20 years. A total of 32 patients with a mean follow-up of 11.8 years underwent further analyses. ROM (
0.028), aFTA (
= 0.044), pPS (
= 0.009), OKS (
< 0.001) and KSS (
< 0.001) improved significantly. SF-12 PCS was 42.3 and MCS was 54.4 at final follow-up. In general, one third of patients suffer a complication, and one in six patients has their prosthesis removed after TKA for PTO due to tibial plateau fractures. In patients who do not fail, TKA significantly improves clinical and radiographic outcomes at long-term follow-up.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm12237303</identifier><identifier>PMID: 38068355</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Arthritis ; Clinical medicine ; Clinical outcomes ; Fracture fixation ; Fractures ; Implants, Artificial ; Injuries ; Joint replacement surgery ; Methods ; Osteoarthritis ; Patient outcomes ; Patients ; Prostheses ; Prosthesis ; Range of motion ; Statistical analysis ; Survival analysis</subject><ispartof>Journal of clinical medicine, 2023-11, Vol.12 (23), p.7303</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c379t-106746c5e01804a136cc2c47159704c2bd65b3eea32b7dae6a9d65ce55bb244d3</cites><orcidid>0000-0002-8133-156X ; 0000-0002-0730-4782 ; 0000-0001-9221-3908 ; 0000-0003-2513-2723</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38068355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nolte, Philip-C</creatorcontrib><creatorcontrib>Schlentrich, Kim</creatorcontrib><creatorcontrib>Raisch, Philipp</creatorcontrib><creatorcontrib>Jung, Matthias K</creatorcontrib><creatorcontrib>Grützner, Paul A</creatorcontrib><creatorcontrib>Bischel, Oliver</creatorcontrib><title>Survival and Clinical Outcomes after Unconstrained Total Knee Arthroplasty for Tibial Plateau Fractures-A Retrospective Study with Minimum 4-Year Follow-Up</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>This study investigated survival, complications, revisions, and patient-reported outcomes (PROs) for unconstrained total knee arthroplasty (TKA) in posttraumatic osteoarthritis (PTO) caused by intraarticular tibial plateau fractures with minimum four years follow-up. Forty-nine patients (71.4% male; 58.7 years) were included. Kaplan-Meier analysis was performed with failure defined as TKA removal. Patients without failure underwent pre- and postoperative evaluation (range of motion (ROM), Oxford Knee Score (OKS), Knee Society Score (KSS), anatomical femorotibial angle (aFTA), proximal tibial slope (PTS)) and Short Form-12 (SF-12) Physical (PCS) and Mental Component Summary (MCS) assessment at final follow-up. Fifteen (30.6%) patients had a complication, and eight (16.3%) patients underwent prosthesis removal at median 2.5 years. Cumulative survival rate of TKA was 79.6% at 20 years. A total of 32 patients with a mean follow-up of 11.8 years underwent further analyses. ROM (
0.028), aFTA (
= 0.044), pPS (
= 0.009), OKS (
< 0.001) and KSS (
< 0.001) improved significantly. SF-12 PCS was 42.3 and MCS was 54.4 at final follow-up. In general, one third of patients suffer a complication, and one in six patients has their prosthesis removed after TKA for PTO due to tibial plateau fractures. In patients who do not fail, TKA significantly improves clinical and radiographic outcomes at long-term follow-up.</description><subject>Arthritis</subject><subject>Clinical medicine</subject><subject>Clinical outcomes</subject><subject>Fracture fixation</subject><subject>Fractures</subject><subject>Implants, Artificial</subject><subject>Injuries</subject><subject>Joint replacement surgery</subject><subject>Methods</subject><subject>Osteoarthritis</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Prostheses</subject><subject>Prosthesis</subject><subject>Range of motion</subject><subject>Statistical analysis</subject><subject>Survival analysis</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkk1v1DAQhi1ERavSE3dkiQsSSnHsOI6PqxULiKJWdPfAKXKcCfXKiYM_ttrfwp_FqxZoUT0He8bPjEevB6FXJTlnTJL3Wz2WlDLBCHuGTigRoiCsYc8fnI_RWQhbklfTVLQUL9Axa0jdMM5P0K_r5HdmpyxWU4-X1kxGZ-cyRe1GCFgNETzeTNpNIXplJujx2sWMfJkA8MLHG-9mq0Lc48F5vDadyZdXVkVQCa-80jF5CMUCf4PoXZhBR7MDfB1Tv8e3Jt7gr_nRMY24Kr6D8njlrHW3xWZ-iY4GZQOc3e-naLP6sF5-Ki4uP35eLi4KzYSMRUlqUdWaAykbUqmS1VpTXYmSS0EqTbu-5h0DUIx2oldQK5kjGjjvOlpVPTtFb-_qzt79TBBiO5qgwVo1gUuhpZJQyYmsWUbf_IduXfJT7q6ljZRVXVIp_lE_lIXWTIPL0ulD0XYhBG8k4fxAnT9BZethNFlvGEyOP0p4d5egs47Bw9DO3ozK79uStIdpaB9MQ6Zf37eauhH6v-yfv2e_ASJ_r0k</recordid><startdate>20231125</startdate><enddate>20231125</enddate><creator>Nolte, Philip-C</creator><creator>Schlentrich, Kim</creator><creator>Raisch, Philipp</creator><creator>Jung, Matthias K</creator><creator>Grützner, Paul A</creator><creator>Bischel, Oliver</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8133-156X</orcidid><orcidid>https://orcid.org/0000-0002-0730-4782</orcidid><orcidid>https://orcid.org/0000-0001-9221-3908</orcidid><orcidid>https://orcid.org/0000-0003-2513-2723</orcidid></search><sort><creationdate>20231125</creationdate><title>Survival and Clinical Outcomes after Unconstrained Total Knee Arthroplasty for Tibial Plateau Fractures-A Retrospective Study with Minimum 4-Year Follow-Up</title><author>Nolte, Philip-C ; Schlentrich, Kim ; Raisch, Philipp ; Jung, Matthias K ; Grützner, Paul A ; Bischel, Oliver</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-106746c5e01804a136cc2c47159704c2bd65b3eea32b7dae6a9d65ce55bb244d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Arthritis</topic><topic>Clinical medicine</topic><topic>Clinical outcomes</topic><topic>Fracture fixation</topic><topic>Fractures</topic><topic>Implants, Artificial</topic><topic>Injuries</topic><topic>Joint replacement surgery</topic><topic>Methods</topic><topic>Osteoarthritis</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Prostheses</topic><topic>Prosthesis</topic><topic>Range of motion</topic><topic>Statistical analysis</topic><topic>Survival analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nolte, Philip-C</creatorcontrib><creatorcontrib>Schlentrich, Kim</creatorcontrib><creatorcontrib>Raisch, Philipp</creatorcontrib><creatorcontrib>Jung, Matthias K</creatorcontrib><creatorcontrib>Grützner, Paul A</creatorcontrib><creatorcontrib>Bischel, Oliver</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nolte, Philip-C</au><au>Schlentrich, Kim</au><au>Raisch, Philipp</au><au>Jung, Matthias K</au><au>Grützner, Paul A</au><au>Bischel, Oliver</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival and Clinical Outcomes after Unconstrained Total Knee Arthroplasty for Tibial Plateau Fractures-A Retrospective Study with Minimum 4-Year Follow-Up</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2023-11-25</date><risdate>2023</risdate><volume>12</volume><issue>23</issue><spage>7303</spage><pages>7303-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>This study investigated survival, complications, revisions, and patient-reported outcomes (PROs) for unconstrained total knee arthroplasty (TKA) in posttraumatic osteoarthritis (PTO) caused by intraarticular tibial plateau fractures with minimum four years follow-up. Forty-nine patients (71.4% male; 58.7 years) were included. Kaplan-Meier analysis was performed with failure defined as TKA removal. Patients without failure underwent pre- and postoperative evaluation (range of motion (ROM), Oxford Knee Score (OKS), Knee Society Score (KSS), anatomical femorotibial angle (aFTA), proximal tibial slope (PTS)) and Short Form-12 (SF-12) Physical (PCS) and Mental Component Summary (MCS) assessment at final follow-up. Fifteen (30.6%) patients had a complication, and eight (16.3%) patients underwent prosthesis removal at median 2.5 years. Cumulative survival rate of TKA was 79.6% at 20 years. A total of 32 patients with a mean follow-up of 11.8 years underwent further analyses. ROM (
0.028), aFTA (
= 0.044), pPS (
= 0.009), OKS (
< 0.001) and KSS (
< 0.001) improved significantly. SF-12 PCS was 42.3 and MCS was 54.4 at final follow-up. In general, one third of patients suffer a complication, and one in six patients has their prosthesis removed after TKA for PTO due to tibial plateau fractures. In patients who do not fail, TKA significantly improves clinical and radiographic outcomes at long-term follow-up.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38068355</pmid><doi>10.3390/jcm12237303</doi><orcidid>https://orcid.org/0000-0002-8133-156X</orcidid><orcidid>https://orcid.org/0000-0002-0730-4782</orcidid><orcidid>https://orcid.org/0000-0001-9221-3908</orcidid><orcidid>https://orcid.org/0000-0003-2513-2723</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2077-0383 |
| ispartof | Journal of clinical medicine, 2023-11, Vol.12 (23), p.7303 |
| issn | 2077-0383 2077-0383 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2902950963 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central |
| subjects | Arthritis Clinical medicine Clinical outcomes Fracture fixation Fractures Implants, Artificial Injuries Joint replacement surgery Methods Osteoarthritis Patient outcomes Patients Prostheses Prosthesis Range of motion Statistical analysis Survival analysis |
| title | Survival and Clinical Outcomes after Unconstrained Total Knee Arthroplasty for Tibial Plateau Fractures-A Retrospective Study with Minimum 4-Year Follow-Up |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-12T02%3A08%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Survival%20and%20Clinical%20Outcomes%20after%20Unconstrained%20Total%20Knee%20Arthroplasty%20for%20Tibial%20Plateau%20Fractures-A%20Retrospective%20Study%20with%20Minimum%204-Year%20Follow-Up&rft.jtitle=Journal%20of%20clinical%20medicine&rft.au=Nolte,%20Philip-C&rft.date=2023-11-25&rft.volume=12&rft.issue=23&rft.spage=7303&rft.pages=7303-&rft.issn=2077-0383&rft.eissn=2077-0383&rft_id=info:doi/10.3390/jcm12237303&rft_dat=%3Cgale_proqu%3EA775890557%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2899461297&rft_id=info:pmid/38068355&rft_galeid=A775890557&rfr_iscdi=true |