Risk for total knee arthroplasty after tibial plateau fractures: a systematic review

被引:10
|
作者
Haslhofer, D. J. [1 ,2 ]
Kraml, N. [1 ,2 ]
Winkler, P. W. [1 ,2 ]
Gotterbarm, T. [1 ,2 ]
Klasan, A. [2 ,3 ]
机构
[1] Kepler Univ Hosp Linz, Dept Orthoped & Traumatol, Med Campus 3,Krankenhausstr 9, A-4020 Linz, Austria
[2] Johannes Kepler Univ Linz, Fac Med, Altenbergerstr 69, A-4040 Linz, Austria
[3] AUVA Graz, Dept Orthoped & Traumatol, Gostinger Str 24, A-8020 Graz, Austria
关键词
Tibial plateau fracture; Proximal tibia fracture; TKA; Total knee arthroplasty; Total knee replacement; MEAN FOLLOW-UP; OPEN REDUCTION; PATIENTS OLDER; OPERATIVE TREATMENT; SURGICAL-TREATMENT; INTERNAL-FIXATION; OUTCOMES; OSTEOSYNTHESIS; MANAGEMENT; CONVERSION;
D O I
10.1007/s00167-023-07585-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
PurposeTibial plateau fractures (TPFs) may lead to posttraumatic osteoarthritis and increase the risk for total knee arthroplasty (TKA). The aim of this systematic review was to analyse the conversion rate to TKA after TPF treatment.MethodsA systematic search for studies reviewing the conversion rate to TKA after TPF treatment was conducted. The studies were screened and assessed by two independent observers. The conversion rate was analysed overall and for selected subgroups, including different follow-up times, treatment methods, and study sizes.ResultsA total of forty-two eligible studies including 52,577 patients were included in this systematic review. The overall conversion rate of treated TPF to TKA in all studies was 5.1%. Thirty-eight of the forty-two included studies indicated a conversion rate under 10%. Four studies reported a higher percentage, namely, 10.8%, 10.9%, 15.5%, and 21.9%. Risk factors for TKA following TPF treatment were female sex, age, and low surgeon and hospital volume. The conversion rate to TKA is particularly high in the first 5 years after fracture.ConclusionBased on the studies, it can be assumed that the conversion rate to TKA is approximately 5%. The risk for TKA is manageable in clinical practice.Prospero registration numberCRD42023385311.Level of evidenceIV.
引用
收藏
页码:5145 / 5153
页数:9
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