Authors: Bogdan Deleanu Radu Prejbeanu Dan Crisan Vlad Predescu Iulian Popa Dan V Poenaru
Publish Date: 2015/02/12
Volume: 39, Issue: 7, Pages: 1411-1415
Abstract
In the present study we investigated 25 tibial plateau fractures classified as Schatzker II IV V and VI that underwent operative reduction and lateral plate osteosynthesis Apart from routine radiographic exploration and patient completed KOOS scores at three mean of 32 months six mean of 56 months and 12 months mean of 113 months postoperatively gait analysis was performed at these intervals as well Cadence step time and knee flexion were the gait parameters that were selected for the comparison at six and 12 months postoperativelyThe analysed gait parameters were significantly improved between the six and the 12month session and statistically significant differences were found between the two groups of values Cadence had a mean value of 41 steps/minute at six months and 45 steps/minute at 12 months p = 099 Step time was a mean of 074 seconds at six months while at 12 months the median value was 066 seconds p = 094 Knee flexion angles evolved in a similar manner with mean values of 58° at six months and 69° at 12 months p = 095 The mean KOOS scores were 424 563 and 6799 at three six and 12 months postoperatively respectivelyComplex intraarticular fractures classified as Schatzker IV V and VI had a higher impact on joint function than Schatzker II fractures treated with similar techniques and implants There were statistically significant improvements in the recovery status at 12 months postoperatively compared to six months with extended chances for improvement
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