Risk for total knee arthroplasty after tibial plateau fractures: a systematic review - Takeaways - MDSpire

Risk for total knee arthroplasty after tibial plateau fractures: a systematic review

  • By

  • D. J. Haslhofer

  • N. Kraml

  • P. W. Winkler

  • T. Gotterbarm

  • A. Klasan

  • October 4, 2023

  • 0 min

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  • 1

    Tibial plateau fractures (TPFs) can be treated operatively or nonoperatively, with open reduction and internal fixation (ORIF) being the gold standard.

  • 2

    Posttraumatic osteoarthritis (PTOA) frequently occurs in TPF patients, potentially leading to total knee arthroplasty (TKA) at various stages.

  • 3

    This systematic review analyzed 42 studies to quantify the conversion rate to TKA after TPF treatment, revealing a lower rate than often assumed.

  • 4

    The overall conversion rate to TKA across studies was found to be 5.1%, with variations based on follow-up duration and treatment type.

  • 5

    Most studies indicated a conversion rate between 0 and 10%, challenging the perception that the risk of TKA after TPF is significantly high.

Original Source(s)

Risk for total knee arthroplasty after tibial plateau fractures: a systematic review

  • by D. J. Haslhofer, N. Kraml, P. W. Winkler, T. Gotterbarm, A. Klasan

  • October 4, 2023

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