Author : Bailee Carey
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)
Book Synopsis In People with Tibial Plateau Fractures, what Prognostic Indicators Impact Achievement of Functional Range of Motion at the Knee? by : Bailee Carey
Download or read book In People with Tibial Plateau Fractures, what Prognostic Indicators Impact Achievement of Functional Range of Motion at the Knee? written by Bailee Carey and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Tibial plateau fractures are an uncommon injury to the proximal tibia resulting from low or high energy trauma. Significant long-term effects of these fractures include knee stiffness and increased incidence of knee osteoarthritis. This review aimed to identify the prognostic indicators of reduced functional knee range of motion (ROM) following a tibial plateau fracture.Methods: Literature was reviewed using Medline, Cochrane Database of Systematic Reviews, and CINAHL between September 2021 to May 2023. Search term examples included “tibial plateau fractures”, “prognosis”, and “knee ROM or knee stiffness”. Articles were included if the fracture was classified Schatzker stage I-VI or OTA/AO A-C and if prognostic indicators were identified. Articles were excluded if they did not contain follow-up results at 1 year or knee ROM measurements, and if they were non-English. Each article was appraised for quality by 2 or 3 authors based on pre-established appraisal checklists.Results: The 5 primary search strings yielded 181 results. Eight articles were included in the literature review including 1 prospective cohort study, 4 retrospective cohort studies, and 3 case studies.Conclusions: The literature supports that prognostic indicators for individuals with tibial plateau fractures for not achieving functional knee ROM include modifiable and nonmodifiable factors. Prognostic indicators of decreased knee ROM include older age at the time of injury, more severe fracture type on the Schatzker classification, larger amounts of articular depression of the tibial plateau, valgus deformity, decreased hamstring and quadriceps strength after the injury, impaired bone metabolism, and extended time in an external fixator based off of normative values.