{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:00:40Z","timestamp":1791979240587,"version":"4.4.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Despite varying impact of high- and low-energy traumas, research comparing patient and fracture characteristics as well as patient-reported functional outcomes following these trauma mechanisms is limited. From a patient, doctor, and legal perspective, assessing the association between trauma mechanism and clinical outcome is important for managing expectations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicenter cross-sectional study was performed including 1066 patients treated for a tibial plateau fracture between 2003 and 2019. Patients completed the Knee injury and Osteoarthritis Outcomes Score (KOOS) at a mean follow-up of 6\u2009\u00b1\u20094\u00a0years. Trauma mechanisms were classified according to ATLS guidelines. Independent- samples t-test and chi-square test were used to assess differences in patient and fracture characteristics after high- or low-energy trauma. Linear regression analyzed the relationship between trauma mechanisms and KOOS-scores. The Fisher\u2019s exact assessed differences in complications and conversion to total knee arthroplasty (TKA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High-energy trauma mostly occurred in younger males and low-energy trauma in older females. High-energy trauma caused more Schatzker IV-VI fractures, resulted in more initial fracture displacement and needed more often surgical treatment (81% versus 67%; p\u2009=\u20090.002). Linear regression showed that high-energy trauma was associated with lower KOOS-scores. Patients after high-energy trauma had more complications (e.g. revision surgery [8% versus 2%; p\u2009=\u2009\u2009&lt;\u20090.001], mal- or nonunion [8% versus 2%; p\u2009=\u2009\u2009&lt;\u20090.001]) and conversion to TKA (15% versus 10%; p\u2009=\u20090.144).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Only 12% of patients with tibial plateau fractures sustained these injuries due to high-energy trauma, which predominantly involved younger males and resulted in more severe fractures. High-energy trauma resulted in worse patient-reported outcomes, more complications, and conversions to TKA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III, prognostic study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-025-02810-0","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:44:19Z","timestamp":1743813859000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["What is the patient-reported outcome, complication rate and conversion to total knee arthroplasty in patients with tibial plateau fractures caused by high-energy compared to low-energy mechanisms of injury?"],"prefix":"10.1007","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6414-161X","authenticated-orcid":false,"given":"Thijs P.","family":"Vaartjes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1496-8884","authenticated-orcid":false,"given":"Tijmen W.","family":"Kraai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9508-9647","authenticated-orcid":false,"given":"Eelke","family":"Bosma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian J.","family":"van der Sluis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joost G.","family":"ten Brinke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinier","family":"de Groot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8061-1060","authenticated-orcid":false,"given":"Harm","family":"Hoekstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Job N.","family":"Doornberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0034-6816","authenticated-orcid":false,"given":"Nick","family":"Assink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9420-2732","authenticated-orcid":false,"given":"Frank F. 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