ORCID: https://orcid.org/0009-0009-4807-0423; Berthold, Daniel P.; Neidlein, Claas
ORCID: https://orcid.org/0000-0003-0501-5466; Stuby, Fabian
ORCID: https://orcid.org/0000-0002-9952-970X; Pätzold, Robert; Böcker, Wolfgang
ORCID: https://orcid.org/0000-0003-0554-0201; Holzapfel, Boris Michael
ORCID: https://orcid.org/0000-0002-3989-2531; Fürmetz, Julian
ORCID: https://orcid.org/0000-0001-5529-1632 und Bormann, Markus
ORCID: https://orcid.org/0000-0001-7024-3620
(2025):
From early complications to delayed failures: Revision surgery after tibial plateau fracture fixation in 1027 cases.
In: Injury, Bd. 56, Nr. 8, 112543
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Abstract
Background
Tibial plateau fractures (TPFs) are complex injuries associated with significant postoperative complications including infection, deformity and wound healing disorders. Limited data exist on risk factors for complications following surgical treatment, particularly in large multicenter cohorts.
Methods
This retrospective study analyzed 1027 patients with intra-articular TPFs treated surgically at two level-I trauma centers in Germany (2011–2020). Preoperative CT imaging and follow-up data were required for inclusion. Complications were categorized into seven groups (infection, deformity, wound healing disorders, postoperative compartment syndrome, range of motion deficit and others). Statistical analyses assessed associations with fracture type (Schatzker classification), surgical approach, duration, and patient factors (BMI, age, smoking).
Results
Nineteen percent of patients required surgical revision, with deformity (5.7 %), infection (5.4 %), and wound healing disorders (3.3 %) being the most common complications. Complex fractures (Schatzker V-VI) and prolonged or multi-approach surgeries were associated with higher complication rates. Elevated BMI increased overall complication risk, while smoking was linked to wound healing disorders.
Conclusion
The 19 % revision rate highlights the challenges of managing TPFs. Surgical factors, including operative duration and approach, play a critical role in the occurrence of complications, emphasizing the need for tailored strategies based on fracture complexity and surgical considerations.
Dokumententyp: | Zeitschriftenartikel |
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Fakultät: | Medizin > Klinikum der LMU München > MUM - Muskuloskelettales Universitätszentrum München |
Themengebiete: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
URN: | urn:nbn:de:bvb:19-epub-128100-0 |
ISSN: | 00201383 |
Sprache: | Englisch |
Dokumenten ID: | 128100 |
Datum der Veröffentlichung auf Open Access LMU: | 08. Aug. 2025 07:25 |
Letzte Änderungen: | 08. Aug. 2025 07:25 |