scholarly journals Incidence and risk factors for surgical site infection after open reduction and internal fixation of tibial plateau fracture: A systematic review and meta-analysis

2017 ◽  
Vol 41 ◽  
pp. 176-182 ◽  
Author(s):  
Jiashen Shao ◽  
Hengrui Chang ◽  
Yanbin Zhu ◽  
Wei Chen ◽  
Zhanle Zheng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Surgical Site Infection ◽  
Internal Fixation ◽  
Open Reduction ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Meta Analysis ◽  
Site Infection ◽  
Plateau Fracture

scholarly journals Incidence and risk factors for decreased range of motion of the knee joint after surgery for closed tibial plateau fracture in adults

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Junyong Li ◽  
Junzhe Zhang ◽  
Kuo Zhao ◽  
Yanbin Zhu ◽  
Hongyu Meng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Knee Joint ◽  
Internal Fixation ◽  
Range Of Motion ◽  
Odds Ratio ◽  
Open Reduction ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plateau Fracture ◽  
Independent Risk Factors

Abstract Purpose The aim of this study was to quantify the incidence of and identify independent risk factors for decreased range of motion (ROM) of the knee joint after surgery for closed tibial plateau fractures in adults. Methods This retrospective study was performed at the trauma centre in our hospital from January 2018 to December 2019. Data from adult patients with tibial plateau fractures treated by surgery were extracted from the electronic medical records. A total of 220 tibial plateau fracture patients were enrolled. We extracted the patients’ demographic characteristics, fracture characteristics, and surgery-related variables. Univariate and multivariate logistic regression models were used to investigate the potential independent risk factors. Results Fifty-seven patients developed decreased ROM of the knee joint at the 1-year follow-up in this study. The overall incidence was 25.9%. The independent predictors of decreased ROM after surgery, as identified in the multivariate analysis, were orthopedic polytrauma (odds ratio = 3.23; 95% CI = 1.68–6.20; p = 0.000), fracture type (Schatzker V-VI) (odds ratio = 2.52; 95% CI = 1.16–5.47; p = 0.019), and an open reduction and internal fixation approach (odds ratio = 2.10; 95% CI = 1.07–4.12; p = 0.031). Conclusions The study confirmed that patients with orthopaedic polytrauma, more complex fractures and those treated with open reduction and internal fixation (ORIF) surgery were more likely to suffer decreased ROM of the knee joint 1 year after surgery.

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