Do associated proximal fibula fractures help predict the severity of tibial plateau fractures?
Purpose Proximal fibula fractures are often associated with tibial plateau fractures, but their relationship is poorly characterized. The purpose of this study was to better define the relationship between tibial plateau injury severity and presence of associated soft tissue injuries. Methods A retr...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2023-10, Vol.33 (7), p.2959-2963 |
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| container_title | European journal of orthopaedic surgery & traumatology |
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| creator | Mackie, Duncan B. Mitchell, Brendon C. Siow, Matthew Y. Onodera, Keenan M. Berger, Garrett K. Kent, William T. |
| description | Purpose
Proximal fibula fractures are often associated with tibial plateau fractures, but their relationship is poorly characterized. The purpose of this study was to better define the relationship between tibial plateau injury severity and presence of associated soft tissue injuries.
Methods
A retrospective review was performed on all operatively treated tibial plateau fractures at a Level 1 trauma center over a 5-year period. Patient demographics, injury radiographs, CT scans, operative reports and follow-up were reviewed.
Results
Queried tibial plateau fractures from 2014 to 2019 totaled 217 fractures in 215 patients. Fifty-two percent were classified as AO/OTA 41B and 48% were AO/OTA 41C. Thirty-nine percent had an associated proximal fibula fracture. The presence of a proximal fibula fracture had significant correlation with AO/OTA 41C fractures, as compared with AO/OTA 41B fractures (chi-square,
p
|
| doi_str_mv | 10.1007/s00590-023-03513-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10504102</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2786812580</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-6570ae249de7cd18d952f1c57dde664aac4bc321e95e4e12e85dc9a9d46ca2833</originalsourceid><addsrcrecordid>eNp9kU9PHSEUxUlTo_bVL9BFQ9KNm1EuDAyzMo39Z2LSTbst4cEdH2beMAXG1G8v9lm1XXQFyf2dczkcQt4AOwHGutPMmOxZw7homJAgGnhBDqEVvAGm9Mtn9wPyKudrxkD2IPfJgVA9dFzLQ_LjQ6Q25-iCLejpnOKvsLUjHcJ6GS0dknVlSZjpBse5jtEHV2jZIM14gymUWxoHWsI6VNE8VhO7PKnOXpO9wY4Zjx7OFfn-6eO38y_N5dfPF-fvLxvXclUaJTtmkbe9x8550L6XfAAnO-9RqdZa166d4IC9xBaBo5be9bb3rXKWayFW5GznOy_rLXqHU0l2NHOqYdKtiTaYvydT2JireGOASdZC_cIVOX5wSPHngrmYbcgOx9FOGJdseKeVBi41q-i7f9DruKSp5jNcq1qE4PKe4jvKpZhzwuHxNcDMfX9m15-py83v_gxU0dvnOR4lfwqrgNgBuY6mK0xPu_9jewelAae3</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2865133250</pqid></control><display><type>article</type><title>Do associated proximal fibula fractures help predict the severity of tibial plateau fractures?</title><source>SpringerLink Journals</source><creator>Mackie, Duncan B. ; Mitchell, Brendon C. ; Siow, Matthew Y. ; Onodera, Keenan M. ; Berger, Garrett K. ; Kent, William T.</creator><creatorcontrib>Mackie, Duncan B. ; Mitchell, Brendon C. ; Siow, Matthew Y. ; Onodera, Keenan M. ; Berger, Garrett K. ; Kent, William T.</creatorcontrib><description>Purpose
Proximal fibula fractures are often associated with tibial plateau fractures, but their relationship is poorly characterized. The purpose of this study was to better define the relationship between tibial plateau injury severity and presence of associated soft tissue injuries.
Methods
A retrospective review was performed on all operatively treated tibial plateau fractures at a Level 1 trauma center over a 5-year period. Patient demographics, injury radiographs, CT scans, operative reports and follow-up were reviewed.
Results
Queried tibial plateau fractures from 2014 to 2019 totaled 217 fractures in 215 patients. Fifty-two percent were classified as AO/OTA 41B and 48% were AO/OTA 41C. Thirty-nine percent had an associated proximal fibula fracture. The presence of a proximal fibula fracture had significant correlation with AO/OTA 41C fractures, as compared with AO/OTA 41B fractures (chi-square,
p
< 0.001). Of the patients with a lateral split depression type tibial plateau fracture, the presence of a proximal fibula fracture was associated with more articular comminution, measured by number of articular fragments (mean = 4.0 vs. 2.9 articular fragments,
p
= 0.004). There was also a higher rate of meniscal injury in patients with proximal fibula fractures (37% vs. 20%,
p
= 0.003).
Conclusions
There was a significant relationship between the higher energy tibial plateau fracture type (AO/OTA 41C) and the presence of an associated proximal fibula fracture. The presence of a proximal fibula fracture with a tibial plateau fracture is an indicator of a higher energy injury and a higher likelihood of meniscal injury.</description><identifier>ISSN: 1432-1068</identifier><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-023-03513-1</identifier><identifier>PMID: 36917285</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Bone surgery ; Compartment syndrome ; Injuries ; Medical imaging ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Orthopedics ; Patients ; Surgical Orthopedics ; Trauma ; Traumatic Surgery ; Variables ; Vehicles</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2023-10, Vol.33 (7), p.2959-2963</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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-c426t-6570ae249de7cd18d952f1c57dde664aac4bc321e95e4e12e85dc9a9d46ca2833</cites><orcidid>0000-0002-7065-9551</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-023-03513-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-023-03513-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36917285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mackie, Duncan B.</creatorcontrib><creatorcontrib>Mitchell, Brendon C.</creatorcontrib><creatorcontrib>Siow, Matthew Y.</creatorcontrib><creatorcontrib>Onodera, Keenan M.</creatorcontrib><creatorcontrib>Berger, Garrett K.</creatorcontrib><creatorcontrib>Kent, William T.</creatorcontrib><title>Do associated proximal fibula fractures help predict the severity of tibial plateau fractures?</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Purpose
Proximal fibula fractures are often associated with tibial plateau fractures, but their relationship is poorly characterized. The purpose of this study was to better define the relationship between tibial plateau injury severity and presence of associated soft tissue injuries.
Methods
A retrospective review was performed on all operatively treated tibial plateau fractures at a Level 1 trauma center over a 5-year period. Patient demographics, injury radiographs, CT scans, operative reports and follow-up were reviewed.
Results
Queried tibial plateau fractures from 2014 to 2019 totaled 217 fractures in 215 patients. Fifty-two percent were classified as AO/OTA 41B and 48% were AO/OTA 41C. Thirty-nine percent had an associated proximal fibula fracture. The presence of a proximal fibula fracture had significant correlation with AO/OTA 41C fractures, as compared with AO/OTA 41B fractures (chi-square,
p
< 0.001). Of the patients with a lateral split depression type tibial plateau fracture, the presence of a proximal fibula fracture was associated with more articular comminution, measured by number of articular fragments (mean = 4.0 vs. 2.9 articular fragments,
p
= 0.004). There was also a higher rate of meniscal injury in patients with proximal fibula fractures (37% vs. 20%,
p
= 0.003).
Conclusions
There was a significant relationship between the higher energy tibial plateau fracture type (AO/OTA 41C) and the presence of an associated proximal fibula fracture. The presence of a proximal fibula fracture with a tibial plateau fracture is an indicator of a higher energy injury and a higher likelihood of meniscal injury.</description><subject>Bone surgery</subject><subject>Compartment syndrome</subject><subject>Injuries</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Surgical Orthopedics</subject><subject>Trauma</subject><subject>Traumatic Surgery</subject><subject>Variables</subject><subject>Vehicles</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9PHSEUxUlTo_bVL9BFQ9KNm1EuDAyzMo39Z2LSTbst4cEdH2beMAXG1G8v9lm1XXQFyf2dczkcQt4AOwHGutPMmOxZw7homJAgGnhBDqEVvAGm9Mtn9wPyKudrxkD2IPfJgVA9dFzLQ_LjQ6Q25-iCLejpnOKvsLUjHcJ6GS0dknVlSZjpBse5jtEHV2jZIM14gymUWxoHWsI6VNE8VhO7PKnOXpO9wY4Zjx7OFfn-6eO38y_N5dfPF-fvLxvXclUaJTtmkbe9x8550L6XfAAnO-9RqdZa166d4IC9xBaBo5be9bb3rXKWayFW5GznOy_rLXqHU0l2NHOqYdKtiTaYvydT2JireGOASdZC_cIVOX5wSPHngrmYbcgOx9FOGJdseKeVBi41q-i7f9DruKSp5jNcq1qE4PKe4jvKpZhzwuHxNcDMfX9m15-py83v_gxU0dvnOR4lfwqrgNgBuY6mK0xPu_9jewelAae3</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Mackie, Duncan B.</creator><creator>Mitchell, Brendon C.</creator><creator>Siow, Matthew Y.</creator><creator>Onodera, Keenan M.</creator><creator>Berger, Garrett K.</creator><creator>Kent, William T.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7065-9551</orcidid></search><sort><creationdate>20231001</creationdate><title>Do associated proximal fibula fractures help predict the severity of tibial plateau fractures?</title><author>Mackie, Duncan B. ; Mitchell, Brendon C. ; Siow, Matthew Y. ; Onodera, Keenan M. ; Berger, Garrett K. ; Kent, William T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-6570ae249de7cd18d952f1c57dde664aac4bc321e95e4e12e85dc9a9d46ca2833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bone surgery</topic><topic>Compartment syndrome</topic><topic>Injuries</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Surgical Orthopedics</topic><topic>Trauma</topic><topic>Traumatic Surgery</topic><topic>Variables</topic><topic>Vehicles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mackie, Duncan B.</creatorcontrib><creatorcontrib>Mitchell, Brendon C.</creatorcontrib><creatorcontrib>Siow, Matthew Y.</creatorcontrib><creatorcontrib>Onodera, Keenan M.</creatorcontrib><creatorcontrib>Berger, Garrett K.</creatorcontrib><creatorcontrib>Kent, William T.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</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</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mackie, Duncan B.</au><au>Mitchell, Brendon C.</au><au>Siow, Matthew Y.</au><au>Onodera, Keenan M.</au><au>Berger, Garrett K.</au><au>Kent, William T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do associated proximal fibula fractures help predict the severity of tibial plateau fractures?</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>33</volume><issue>7</issue><spage>2959</spage><epage>2963</epage><pages>2959-2963</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Purpose
Proximal fibula fractures are often associated with tibial plateau fractures, but their relationship is poorly characterized. The purpose of this study was to better define the relationship between tibial plateau injury severity and presence of associated soft tissue injuries.
Methods
A retrospective review was performed on all operatively treated tibial plateau fractures at a Level 1 trauma center over a 5-year period. Patient demographics, injury radiographs, CT scans, operative reports and follow-up were reviewed.
Results
Queried tibial plateau fractures from 2014 to 2019 totaled 217 fractures in 215 patients. Fifty-two percent were classified as AO/OTA 41B and 48% were AO/OTA 41C. Thirty-nine percent had an associated proximal fibula fracture. The presence of a proximal fibula fracture had significant correlation with AO/OTA 41C fractures, as compared with AO/OTA 41B fractures (chi-square,
p
< 0.001). Of the patients with a lateral split depression type tibial plateau fracture, the presence of a proximal fibula fracture was associated with more articular comminution, measured by number of articular fragments (mean = 4.0 vs. 2.9 articular fragments,
p
= 0.004). There was also a higher rate of meniscal injury in patients with proximal fibula fractures (37% vs. 20%,
p
= 0.003).
Conclusions
There was a significant relationship between the higher energy tibial plateau fracture type (AO/OTA 41C) and the presence of an associated proximal fibula fracture. The presence of a proximal fibula fracture with a tibial plateau fracture is an indicator of a higher energy injury and a higher likelihood of meniscal injury.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>36917285</pmid><doi>10.1007/s00590-023-03513-1</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-7065-9551</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 1432-1068 1633-8065 1432-1068 |
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| source | SpringerLink Journals |
| subjects | Bone surgery Compartment syndrome Injuries Medical imaging Medicine Medicine & Public Health Original Original Article Orthopedics Patients Surgical Orthopedics Trauma Traumatic Surgery Variables Vehicles |
| title | Do associated proximal fibula fractures help predict the severity of tibial plateau fractures? |
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