Clinical and radiological significance of posteromedial fragment in tibial plateau fractures

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dc.contributor.authorAkdemir, Mehmet
dc.contributor.authorTurken, Mehmet Aykut
dc.contributor.authorTuran, Ahmet Cemil
dc.contributor.authorBicen, Ahmet Cagdas
dc.contributor.authorKilic, Ali Ihsan
dc.date.accessioned2024-03-09T18:48:22Z
dc.date.available2024-03-09T18:48:22Z
dc.date.issued2022
dc.departmentİzmir Bakırçay Üniversitesien_US
dc.description.abstractIntroduction: The effect of joint fragmentation, especially the posteromedial fragment, on treatment outcomes in tibial plateau fractures has been better understood in recent years. In this study, we wanted to examine whether the accompanying posteromedial fragment has an effect on clinical and radiological results. Patients and methods: Patients who underwent open reduction and internal fixation with plate and screw due to tibial plateau fracture were retrospectively screened. The patients were divided into two groups as with and without posteromedial fragment. Clinical, radiological and complications were compared statistically. Results: 38 out of 52 patients were included in the study. The mean age of the patients was 46.08, 26 (68.42%) were female and 12 (31.58%) were male. Mean follow-up was 18.55 months. Posteromedial fragment was present in 21 (55.6%) patients, but not in 17 (44.4%) patients. When the two groups were compared according to the Rasmussen clinical and radiological criteria, no statistically significant difference was found. There was no statistically significant difference between the two groups in the rates of infection, non-union, malunion, joint separation, early arthrosis and arthrofibrosis (p > 0.05). A statistically significant difference was found between the two groups in terms of reduction loss rates (p < 0.05). Conclusions: The accompanying tibial plateau fractures of the posteromedial fragment are characteristic fractures. Care should be taken to maintain the stability of the fracture fixation.en_US
dc.identifier.doi10.1016/j.jor.2022.04.012
dc.identifier.endpage116en_US
dc.identifier.issn0972-978X
dc.identifier.pmid35514533en_US
dc.identifier.scopus2-s2.0-85129153912en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage110en_US
dc.identifier.urihttps://doi.org/10.1016/j.jor.2022.04.012
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1310
dc.identifier.volume31en_US
dc.identifier.wosWOS:001133525200003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofJournal of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTibial Plateau Fracture; Posteromedial Fragment; Internal Fixationen_US
dc.titleClinical and radiological significance of posteromedial fragment in tibial plateau fracturesen_US
dc.typeArticleen_US

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