Chapters authored
Midterm Results of Quality of Life after Surgical Treatment of Tibial Plateau Fractures of Type Moore V
The midterm restriction of the quality of life should be evaluated and correlated with the objective radiological results in patients with the special tibial plateau fracture of type Moore V. From 2003 to 2012, 36 patients with 38 fractures were registered in a retrospective cohort study. Injury mechanism, surgical treatment, complication rate, and radiological results after a mean follow-up of 37 months and the quality of life (NRS, IKDC-form, and EQ-5D-score) after 68 months were analyzed. There were 27 men and 9 women (mean age 50.8 years) in 30 cases with high impact injury. External fixator was used in 24 cases primarily, single plate fixation was used in 12 cases, and double plate fixation was used in 25 cases. All early complication (21%) could be cured. Mean NRS was 4.53, IKDC-score was 50.46, and the EQ-5D was 7.47. The quality of life was quoted to 44% of the output value before the injury. Osteoarthritis was seen in 36 cases; severe in 19 cases and 4 requiring endoprostheses. Loss of reduction and deviation of axis were seen in 13 and 3 patients, respectively. The tibial plateau of type Moore V is a severe injury resulting in the midterm reduction of the quality of life. There is a correlation of subjective and objective results.
Part of the book: Tibia Pathology and Fractures