Abstract
This PhD thesis reported an incidence of tibial plateau fractures of 10.3/100,000/year in a complete Danish regional population.
The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level of radiological outcomes and a level of health related quality of life (Eq5d) below but not significantly different from the Danish reference population at a mean of 5.2 years follow-up. Furthermore, a knee injury-specific questionnaire (KOOS) reported a level of disability close to a reference population with only the subgroup Sport significantly below the age matched reference population.
The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring fixator, both during treatment and at 19 months following injury.
In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard to surgical treatment modalities, and combining surgical interventions with social science and rehabilitation is necessary.
The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level of radiological outcomes and a level of health related quality of life (Eq5d) below but not significantly different from the Danish reference population at a mean of 5.2 years follow-up. Furthermore, a knee injury-specific questionnaire (KOOS) reported a level of disability close to a reference population with only the subgroup Sport significantly below the age matched reference population.
The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring fixator, both during treatment and at 19 months following injury.
In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard to surgical treatment modalities, and combining surgical interventions with social science and rehabilitation is necessary.
| Bidragets oversatte titel | Tibia Plateau Frakturer: Incidens, radiologisk, funktionel og patient rapporteret outcome |
|---|---|
| Originalsprog | Engelsk |
| Udgiver | |
| ISBN'er, elektronisk | 978-87-7112-522-1 |
| DOI | |
| Status | Udgivet - 2016 |
Bibliografisk note
Sten Rasmussen, HovedvejlederSvend Erik Østgaard, Bivejleder