{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:50:45Z","timestamp":1787028645150,"version":"build-2736575974"},"reference-count":37,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Patients with complex proximal tibial plateau fractures (TPFs) tend to overestimate the prognosis of their injury, potentially due to factors such as a limited understanding, optimism, and the influence of the pain intensity. Understanding the reasons behind this misperception is crucial for healthcare providers to effectively communicate with patients and establish realistic expectations for treatment outcomes. The purpose of this study was to analyze the outcomes of TPFs, with a particular focus on patient-reported outcome measures concerning functional recovery, pain levels, and overall satisfaction with treatment. The authors aim to provide valuable insights into the realistic expectations and potential limitations that patients may encounter during their recovery journey. Methods: In this retrospective single-center study, all surgically treated TPFs between January 2014 and December 2019 with a minimum follow-up of 12 months were included. Several patient-reported outcome measures were obtained, including the International Knee documentation Committee Score (IKDC), Lyholm score, Tegner score, and visual analog scale (VAS) for pain. Fractures were classified according to Schatzker, and then subgrouped into simple (Schatzker I\u2013III) and complex (Schatzker IV\u2013VI) fractures. Results: A total of 54 patients (mean age 51.1 \u00b1 11.9 years, 59.3% female) with a mean follow-up time of 3.9 years were included. Schatzker II fractures were present in 48% (n = 26) of the cases, with Schatzker III in 6% (n = 3), Schatzker IV fractures in 6% (n = 3), and Schatker VI fractures in 41% (n = 22) of the cases. All outcome scores showed a significant improvement between the first year after surgery and the last follow-up (mean: 3.9 years). Simple fractures showed significantly lower patient-reported outcomes when compared to the preinjury state; however, good to excellent results were observed. Patient-reported outcomes of complex fractures showed no significant changes in the study period with good to excellent results. When it comes to the Lysholm score, there were no significant differences in the outcome between simple and complex fractures. Furthermore, there was a return-to-sports rate of 100%, with high rates of changing sporting activity in 25% (simple fractures) and 45% in complex fractures. Conclusions: The data from this study showed that both simple and complex tibial plateau fractures show favorable outcomes at the midterm follow-up, and that injury severity does not correlate with worse results. While patients may tend to overestimate the recovery speed, this research highlights the importance of long-term follow-up, demonstrating a substantial improvement between one year post-surgery and the final evaluation. Return-to-sports rates were high, with adjustments needed for certain activities. However, patients should recognize the need to shift to lower-impact sports and the lengthy recovery process.<\/jats:p>","DOI":"10.3390\/jcm13082327","type":"journal-article","created":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T09:15:20Z","timestamp":1713345320000},"page":"2327","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Patient-Reported Outcomes following Tibial Plateau Fractures: Mid- to Short-Term Implications for Knee Function and Activity Level"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0501-5466","authenticated-orcid":false,"given":"Claas","family":"Neidlein","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Musculoskeletal University Center Munich (MUM), Marchioninistra\u00dfe 15, 81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julius","family":"Watrinet","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Trauma Center Murnau, Professor-K\u00fcntscher-Str. 8, 82418 Murnau, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"P\u00e4tzold","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Trauma Center Murnau, Professor-K\u00fcntscher-Str. 8, 82418 Murnau, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6630-6406","authenticated-orcid":false,"given":"Daniel P.","family":"Berthold","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Musculoskeletal University Center Munich (MUM), Marchioninistra\u00dfe 15, 81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolf Christian","family":"Prall","sequence":"additional","affiliation":[{"name":"Devision of Knee, Hip, Shoulder and Elbow Surgery, Schoen Clinic Munich, Harlachinger Stra\u00dfe 51, 81547 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"B\u00f6cker","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Musculoskeletal University Center Munich (MUM), Marchioninistra\u00dfe 15, 81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris Michael","family":"Holzapfel","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Musculoskeletal University Center Munich (MUM), Marchioninistra\u00dfe 15, 81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5529-1632","authenticated-orcid":false,"given":"Julian","family":"F\u00fcrmetz","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Musculoskeletal University Center Munich (MUM), Marchioninistra\u00dfe 15, 81377 Munich, Germany"},{"name":"Department of Trauma Surgery, Trauma Center Murnau, Professor-K\u00fcntscher-Str. 8, 82418 Murnau, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7024-3620","authenticated-orcid":false,"given":"Markus","family":"Bormann","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Musculoskeletal University Center Munich (MUM), Marchioninistra\u00dfe 15, 81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1007\/s00068-021-01644-w","article-title":"Patients with Complex Proximal Tibial Fractures Overestimate the Prognosis of Their Injury","volume":"48","author":"Keppler","year":"2022","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/00003086-200102000-00028","article-title":"Arthroscopic Reduction and Internal Fixation of Tibial Plateau Fractures in Skiing","volume":"383","author":"Gill","year":"2001","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_3","first-page":"665","article-title":"The Incidence of Fractures among the Adult Population of Germany","volume":"118","author":"Rupp","year":"2021","journal-title":"Dtsch. Arztebl. Int."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s00068-022-02076-w","article-title":"Changing Patterns in the Epidemiology of Tibial Plateau Fractures: A 10-Year Review at a Level-I Trauma Center","volume":"49","author":"Bormann","year":"2023","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2068","DOI":"10.1016\/j.injury.2018.09.008","article-title":"Epidemiology and Incidence of Tibia Fractures in the Swedish Fracture Register","volume":"49","author":"Wennergren","year":"2018","journal-title":"Injury"},{"key":"ref_6","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 Jt. Surg. Am."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.injury.2005.06.035","article-title":"Complications after Tibia Plateau Fracture Surgery","volume":"37","author":"Papagelopoulos","year":"2006","journal-title":"Injury"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/00005131-199509040-00001","article-title":"Degenerative Arthritis after Tibial Plateau Fractures","volume":"9","author":"Honkonen","year":"1995","journal-title":"J. Orthop. Trauma"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e780","DOI":"10.3928\/01477447-20150902-55","article-title":"Population-Based Epidemiology of Tibial Plateau Fractures","volume":"38","author":"Elsoe","year":"2015","journal-title":"Orthopedics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3643","DOI":"10.1007\/s00068-020-01525-8","article-title":"Tibial Plateau Fractures in Belgium: Epidemiology, Financial Burden and Costs Curbing Strategies","volume":"48","author":"Herteleer","year":"2022","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"232596711774391","DOI":"10.1177\/2325967117743916","article-title":"Participation in Recreational Athletics after Operative Fixation of Tibial Plateau Fractures: Predictors and Functional Outcomes of Those Getting Back in the Game","volume":"5","author":"Kugelman","year":"2017","journal-title":"Orthop. J. Sports Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1007\/s11751-006-0002-4","article-title":"Treatment of High-Energy Tibial Plateau Fractures","volume":"1","author":"Narayan","year":"2006","journal-title":"Strateg. Trauma Limb Reconstr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/00005131-200106000-00002","article-title":"The Long-Term Functional Outcome of Operatively Treated Tibial Plateau Fractures","volume":"15","author":"Stevens","year":"2001","journal-title":"J. Orthop. Trauma"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Bormann, M., Bitschi, D., Neidlein, C., Berthold, D.P., J\u00f6rgens, M., P\u00e4tzold, R., Watrinet, J., B\u00f6cker, W., Holzapfel, B.M., and F\u00fcrmetz, J. (2023). Mismatch between Clinical\u2013Functional and Radiological Outcome in Tibial Plateau Fractures: A Retrospective Study. J. Clin. Med., 12.","DOI":"10.3390\/jcm12175583"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s00402-019-03150-6","article-title":"Long-Term Outcome after Surgical Treatment of Intra-Articular Tibial Plateau Fractures in Skiers","volume":"139","author":"Hanke","year":"2019","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.1016\/j.jcot.2019.04.007","article-title":"Functional Outcomes after Surgical Treatment of Tibial Plateau Fractures","volume":"11","author":"Hap","year":"2020","journal-title":"J. Clin. Orthop. Trauma"},{"key":"ref_17","first-page":"508","article-title":"Functional Outcome and Incidence of Osteoarthritis in Operated Tibial Plateau Fractures","volume":"6","author":"Jagdev","year":"2018","journal-title":"Arch. Bone Jt. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e421","DOI":"10.1097\/BOT.0000000000001304","article-title":"Knee Stiffness after Tibial Plateau Fractures: Predictors and Outcomes (OTA-41)","volume":"32","author":"Kugelman","year":"2018","journal-title":"J. Orthop. Trauma"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/BOT.0b013e31802c5b51","article-title":"Operative Treatment of 109 Tibial Plateau Fractures: Five- to 27-Year Follow-up Results","volume":"21","author":"Rademakers","year":"2007","journal-title":"J. Orthop. Trauma"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1080\/17453674.1997.11744755","article-title":"Surgical Management of Tibial Plateau Fractures","volume":"275","author":"Touliatos","year":"1997","journal-title":"Acta Orthop. Scand. Suppl."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.2106\/00004623-200209000-00006","article-title":"High-energy fractures of the tibial plateau: Knee function after longer follow-up","volume":"84","author":"Weigel","year":"2002","journal-title":"J. Bone Jt. Surg. -Am. Vol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1007\/s00113-022-01263-z","article-title":"Einfluss der COVID-19-Pandemie auf die Frakturepidemiologie am Beispiel der Tibiaplateaufraktur","volume":"126","author":"Bormann","year":"2023","journal-title":"Unfallchirurgie"},{"key":"ref_23","first-page":"94","article-title":"The Tibial Plateau Fracture. The Toronto Experience 1968\u20131975","volume":"138","author":"Schatzker","year":"1979","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.arthro.2012.12.015","article-title":"Knee Injury and Osteoarthritis Outcome Score or International Knee Documentation Committee Subjective Knee Form: Which Questionnaire Is Most Useful to Monitor Patients with an Anterior Cruciate Ligament Rupture in the Short Term?","volume":"29","author":"Meuffels","year":"2013","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1177\/0363546508330149","article-title":"Lysholm Score and Tegner Activity Level in Individuals with Normal Knees","volume":"37","author":"Briggs","year":"2009","journal-title":"Am. J. Sports Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1007\/s00264-009-0790-5","article-title":"Tibial Plateau Fractures: Functional Outcome and Incidence of Osteoarthritis in 125 Cases","volume":"34","author":"Manidakis","year":"2010","journal-title":"Int. Orthop. (SICOT)"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1007\/s00264-020-04763-y","article-title":"Lateral Tibial Plateau Fractures\u2014Functional Outcomes and Complications after Open Reduction and Internal Fixation","volume":"45","author":"Milenkovic","year":"2021","journal-title":"Int. Orthop. (SICOT)"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"137","DOI":"10.5792\/ksrr.16.027","article-title":"The Efficacy of Meniscal Treatment Associated with Lateral Tibial Plateau Fractures","volume":"29","author":"Park","year":"2017","journal-title":"Knee Surg. Relat. Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S0020-1383(97)00064-8","article-title":"Functional and Radiological Outcome after Intra-Articular Tibial Plateau Fractures","volume":"28","author":"Houben","year":"1997","journal-title":"Injury"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1007\/s00776-013-0404-3","article-title":"Medium-Term Results after Complex Intra-Articular Fractures of the Tibial Plateau","volume":"18","author":"Jansen","year":"2013","journal-title":"J. Orthop. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2845","DOI":"10.1177\/0363546512462564","article-title":"Return to Sports Activity after Tibial Plateau Fractures: 89 Cases with Minimum 24-Month Follow-Up","volume":"40","author":"Kraus","year":"2012","journal-title":"Am. J. Sports Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.1177\/0363546513489524","article-title":"Sports Activity after Surgical Treatment of Intra-Articular Tibial Plateau Fractures in Skiers","volume":"41","author":"Loibl","year":"2013","journal-title":"Am. J. Sports Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2551","DOI":"10.1016\/j.injury.2016.09.014","article-title":"Intra-Articular Tibial Plateau Fracture Characteristics According to the \u201cTen Segment Classification\u201d","volume":"47","author":"Krause","year":"2016","journal-title":"Injury"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1308\/003588407X187667","article-title":"Inter- and Intra-Observer Variation of the Schatzker and AO\/OTA Classifications of Tibial Plateau Fractures and a Proposal of a New Classification System","volume":"89","author":"Charalambous","year":"2007","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.injury.2018.01.025","article-title":"A Systematic Literature Review of Tibial Plateau Fractures: What Classifications Are Used and How Reliable and Useful Are They?","volume":"49","author":"Millar","year":"2018","journal-title":"Injury"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.1016\/j.injury.2021.02.006","article-title":"Primary Total Knee Arthroplasty in Tibial Plateau Fractures: Literature Review and Our Institutional Experience","volume":"54","author":"Sabatini","year":"2023","journal-title":"Injury"},{"key":"ref_37","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-B","author":"Jensen","year":"1990","journal-title":"J. Bone Jt. Surg. Br. Vol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/8\/2327\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:29:23Z","timestamp":1760106563000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/8\/2327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,17]]},"references-count":37,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,4]]}},"alternative-id":["jcm13082327"],"URL":"https:\/\/doi.org\/10.3390\/jcm13082327","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,17]]}}}