{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T16:52:10Z","timestamp":1794243130243,"version":"4.9.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3]]},"abstract":"\n Objectives:<\/jats:title>\n Does restoration of articular congruity have any effect on long-term outcome following tibial plateau fracture?<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n A secondary hospital in New Zealand, which services a population of 150,000.<\/jats:p>\n <\/jats:sec>\n \n Patients:<\/jats:title>\n All patients with a depressed tibial plateau fracture seen over a 6 year period were invited to participate in the study. There were 41 patients (average age 54 years) recruited from an eligible population of 97. Average follow-up was 3.9 years after injury.<\/jats:p>\n <\/jats:sec>\n \n Intervention:<\/jats:title>\n Patients had either been treated operatively or nonoperatively after depressed tibial plateau fracture.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measurements:<\/jats:title>\n The primary outcome analyzed was residual articular depression (as measured on coronal plane tomogram) and its effect on clinical outcome [Oxford Knee Score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Knee injury and Osteoarthritis Outcome Score (KOOS), Iowa knee score, and a visual analogue satisfaction score] and functional outcome (knee range of motion) at a minimum of 12 months after fracture. Patients were divided into 3 groups based on the amount of articular depression: <2.5, 2.5\u20135.0, and \u22655.0 mm. The secondary outcome analyzed was mechanical axis (as measured on weightbearing long leg alignment radiographs) and its effect on clinical and functional outcomes.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Statistical analysis found that patients with <2.5 mm of articular depression had significantly smaller losses in knee range of motion (\n P<\/jats:italic>\n = 0.000), better Oxford (\n P<\/jats:italic>\n = 0.006), Iowa (\n P<\/jats:italic>\n = 0.003), and KOOS symptom (\n P<\/jats:italic>\n = 0.011) and pain (\n P<\/jats:italic>\n = 0.001) scores. We found that there was no significant relationship between restoration of mechanical axis and loss in range of motion (\n P<\/jats:italic>\n = 0.126), Oxford (\n P<\/jats:italic>\n = 0.584), WOMAC (\n P<\/jats:italic>\n = 0.101), IOWA (\n P<\/jats:italic>\n = 0.418), Visual Analogue Score (VAS) (\n P<\/jats:italic>\n = 0.466) or any subgroup within the KOOS survey other than activities of daily living (\n P<\/jats:italic>\n = 0.029).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n This study found that patients with smaller amounts of residual articular depression at a minimum of 12 months after tibial plateau fracture had significantly smaller losses in knee range of motion and better functional outcomes than those with greater amounts of articular depression.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bot.0000000000000762","type":"journal-article","created":{"date-parts":[[2016,12,15]],"date-time":"2016-12-15T11:06:39Z","timestamp":1481799999000},"page":"158-163","source":"Crossref","is-referenced-by-count":123,"title":["Outcome After Tibial Plateau Fracture: How Important Is Restoration of Articular Congruity?"],"prefix":"10.1097","volume":"31","author":[{"given":"Neal","family":"Singleton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vahe","family":"Sahakian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawson","family":"Muir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"366","DOI":"10.3109\/17453677108989057","article-title":"Fractures of the tibial condyles","volume":"42","author":"Lucht","year":"1971","journal-title":"Acta Orthop Scand."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.2106\/00004623-197355070-00001","article-title":"Tibial condyle fractures: impairment of knee joint stability as an indication for surgical treatment","volume":"55","author":"Rasmussen","year":"1973","journal-title":"J Bone Joint Surg Am."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1302\/0301-620X.72B1.2298794","article-title":"Tibial plateau fractures: a comparison of conservative and surgical treatment","volume":"72","author":"Jensen","year":"1990","journal-title":"J Bone Joint Surg Br."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"13","DOI":"10.2106\/00004623-198668010-00003","article-title":"Tibial condylar fractures: a twenty-year follow-up","volume":"68","author":"Lansinger","year":"1986","journal-title":"J Bone Joint Surg Am."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1302\/0301-620X.72B4.2380219","article-title":"Degenerative arthritis after intra-articular fractures of the knee. 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