Yasar Mahsut Dincel,Ali Oner,Yavuz Arikan,Sever Çaglar,Rasit Ozcafer,Mehmet Akif Gulec.[J].中华创伤杂志英文版,2018,21(2):104-108
Effect of BMI on outcomes of surgical treatment for tibial plateau fractures:A comparative retrospective case series study
  
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KeyWord: Tibial plateau fracturesRisk factorBody mass index
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Author NameAffiliation
Yasar Mahsut Dincel Baltalimanı Bone Diseases Education and Research Hospital, Istanbul, Turkey 
Ali Oner Baltalimanı Bone Diseases Education and Research Hospital, Istanbul, Turkey 
Yavuz Arikan Baltalimanı Bone Diseases Education and Research Hospital, Istanbul, Turkey 
Sever Çaglar Baltalimanı Bone Diseases Education and Research Hospital, Istanbul, Turkey 
Rasit Ozcafer Baltalimanı Bone Diseases Education and Research Hospital, Istanbul, Turkey 
Mehmet Akif Gulec Bagcilar Education and Research Hospital, Istanbul, Turkey 
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Abstract:
      Purpose: Tibia plateau fracture (TPF) treatment aims at achieving a stable, aligned, mobile, painless knee and preventing post-traumatic osteoarthritis. To achieve this goal, surgeons consider criteria such as patients' characteristics, severity, risk of complications, fracture displacement/depression, degree of soft tissue injury. However, body mass index (BMI) is not considered as a risk factor in literature. Our study was conducted to find out any possible correlation between BMI and functional scores or radiological score separately. Methods: Retrospective analysis of case series between 2011 and 2014 was done on the database of a tertiary hospital in Istanbul. There were 67 TPF patients (54 males, 13 females) in the study. Relationship between BMI and functional knee scores or radiological score was compared statistically. Closed fractures with both high-energy and low-energy injury were included in the study. Patients with open fracture, multi-trauma presence, meniscus and/or ligamentous injury, increased co-morbidity, inadequate records (25 cases in all) were excluded. Surgery type, Schatzker classification, injury side, trauma energy, and gender were considered as possible risk factors. Binary regression analysis was done for possible factors affecting functional knee scores and radiologic score. Results: Model summary calculations were done as Nagelkerke R2 test for Knee Society score, Lysholm knee score, and Ahlback and Rydberg radiologic scores, which were 0.648, 0.831, and 0.327 respectively. HomereLemeshow test values were 0.976, 0.998, and 0.362, respectively. There is negative correlation between BMI and both knee function scores. There is no correlation between BMI and radiologic score. Conclusion: An increase in BMI has a negative effect on functional knee scores after surgical treatment of TPFs. Therefore, BMI should be considered as a risk factor for surgical treatment of TPFs.
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