DEGENERATIVE ARTHRITIS AFTER TIBIAL PLATEAU FRACTURES

被引：318
作者：
HONKONEN, SE
机构：
[1] Tampere University Hospital, Tampere
来源：
JOURNAL OF ORTHOPAEDIC TRAUMA | 1995年 / 9卷 / 04期
关键词：
TIBIAL PLATEAU FRACTURE; SECONDARY OSTEOARTHRITIS;
D O I：
10.1097/00005131-199509040-00001
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：
Secondary osteoarthritis after tibial plateau fracture was found in 44% of 131 cases at 7.6 (3.3-13.4) years follow-up. Narrowing of the joint space was noted during the first 7 years after injury, usually in the same compartment as the fractured plateau. The incidence slightly increased with the age of patients. Removal of a meniscus during the fracture surgery resulted in secondary degeneration in 74% of the cases. When a meniscus was intact or repaired, the proportion of degenerative cases was only 37%. Normal or slight valgus alignment of the tibial plateau with intact menisci protected best against secondary degeneration. On the other hand, medial or lateral tilt of the tibial plateau with a removed meniscus was followed by osteoarthritis in most cases. The severity of articular irregularities correlated poorly with the degenerative process. Associated ligamentous injuries as well as postoperative infection increased the incidence of secondary degeneration.
引用
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页码：273 / 277
页数：5
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