Epidemiological Study of Tibial Plateau Fractures Combined with Intercondylar Eminence Fractures
Open Access
- 1 April 2020
- journal article
- research article
- Published by Wiley in Orthopaedic Surgery
- Vol. 12 (2), 561-569
- https://doi.org/10.1111/os.12658
Abstract
Objective To investigate the epidemiological characteristics of tibial plateau fractures combined with intercondylar eminence fractures and identify the risk factors. Methods This retrospective study enrolled patients with tibial plateau fractures who were treated in the third hospital of Hebei Medical University from January 2015 to December 2018; 1020 patients (693 [68%] men and 327 [32%] women) meeting the inclusion and exclusion criteria had a mean age of 45.2 +/- 13.8 years. In total, 506 (50%) cases were left injuries, 495 (48%) were right injuries, and 19 (2%) were bilateral injuries. Among them, 458 (44.9%) with a mean age of 47.0 +/- 13.9 years had intercondylar eminence fractures, including 324 men and 134 women. A total of 562 (55.1%) patients were identified without intercondylar eminence fractures, including 369 (65.7%) men and 193 (34.3%) women with an average age of 43.8 +/- 13.6 years. The distribution characteristics of tibial plateau fractures with intercondylar eminence involved were identified. The potential associations among fractures and various other factors, such as age, gender, occupation, and mechanism of injury, were explored. Results The highest proportion age group of tibial plateau fractures included the ages 35-54 years, with more men than women for both age groups. For males, the highest proportion age group was 35-44 years, and for females, it was 55-64 years (chi( 2) = 71.336, P < 0.01). According to Schatzker classification, type IV tibial plateau fractures had the highest risk of intercondylar eminence being involved (70.6%) without significance with type V (69.5%) and VI (68.2%) but with greater significance with types I (11.9%), II (39.2%), and III (9.4%, chi( 2) = 280.187, P < 0.01). Multiple analysis showed that simple fractures, including types I, II, and III (OR 0.108, 95% CI: 0.080-0.145), were less likely to involve intercondylar eminence fractures than complex fractures, including types IV, V, and VI. Patients aged >74 years were more likely to have intercondylar eminence fractures compared with other age groups. Retired patients (OR 4.332, 95% CI: 1.147-16.362) were more likely to have fractured intercondylar eminence. Conclusion The current study revealed the characteristics of tibial plateau fractures, especially those involving intercondylar eminence fractures, as well as their proportion, distribution, and risk factors, which can be used as reference data for clinical assessment and surgical protocol selection.Keywords
Funding Information
- Support Program for the Top Young Talents of Colleges and Universities of Hebei Province (BJ2016035)
- the Hebei National Science Foundation-Outstanding Youth Foundation (H2017206104)
- the Support Program for the Top Young Talents for Hebei Province (2013-2018)
This publication has 33 references indexed in Scilit:
- Estudo epidemiológico das fraturas do planalto tibial em hospital de trauma nível IActa Ortopedica Brasileira, 2013
- Epidemiology of hip fracture: Worldwide geographic variationIndian Journal of Orthopaedics, 2011
- Geographic Variation in Osteoporotic Hip Fracture Incidence: The Growing Importance of Asian Influences in Coming DecadesJournal of Osteoporosis, 2010
- Nonoperative Treatment of Tibial Spine Fractures in Children-38 Patients With a Minimum Follow-up of 1 YearJournal of Orthopaedic Trauma, 2009
- Arthroscopy-Assisted Surgery for Tibial Plateau Fractures: 2- to 10-Year Follow-up ResultsArthroscopy: The Journal of Arthroscopic & Related Surgery, 2008
- Fractures of the tibial spine: Epidemiology and outcomeThe Knee, 2008
- Arthroscopic Evaluation of Soft Tissue Injuries in Tibial Plateau Fractures: Retrospective Analysis of 98 CasesArthroscopy: The Journal of Arthroscopic & Related Surgery, 2006
- Anterior tibial spine fracture – an easy fracture to missAccident and Emergency Nursing, 2004
- Arthroscopically Assisted Osteosynthesis for Tibial Plateau FracturesJournal Of Trauma-Injury Infection and Critical Care, 2003
- Tibial Spine Fractures in ChildrenPublished by Ovid Technologies (Wolters Kluwer Health) ,1990