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

PURPOSE: Tibial plateau fractures (TPFs) may lead to posttraumatic osteoarthritis and increase the risk for total knee arthroplasty (TKA). The aim of this systematic review was to analyse the conversion rate to TKA after TPF treatment. METHODS: A systematic search for studies reviewing the conversio...

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Autores principales: Haslhofer, D. J., Kraml, N., Winkler, P. W., Gotterbarm, T., Klasan, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598098/
https://www.ncbi.nlm.nih.gov/pubmed/37792085
http://dx.doi.org/10.1007/s00167-023-07585-8
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author Haslhofer, D. J.
Kraml, N.
Winkler, P. W.
Gotterbarm, T.
Klasan, A.
author_facet Haslhofer, D. J.
Kraml, N.
Winkler, P. W.
Gotterbarm, T.
Klasan, A.
author_sort Haslhofer, D. J.
collection PubMed
description PURPOSE: Tibial plateau fractures (TPFs) may lead to posttraumatic osteoarthritis and increase the risk for total knee arthroplasty (TKA). The aim of this systematic review was to analyse the conversion rate to TKA after TPF treatment. METHODS: A systematic search for studies reviewing the conversion rate to TKA after TPF treatment was conducted. The studies were screened and assessed by two independent observers. The conversion rate was analysed overall and for selected subgroups, including different follow-up times, treatment methods, and study sizes. RESULTS: A total of forty-two eligible studies including 52,577 patients were included in this systematic review. The overall conversion rate of treated TPF to TKA in all studies was 5.1%. Thirty-eight of the forty-two included studies indicated a conversion rate under 10%. Four studies reported a higher percentage, namely, 10.8%, 10.9%, 15.5%, and 21.9%. Risk factors for TKA following TPF treatment were female sex, age, and low surgeon and hospital volume. The conversion rate to TKA is particularly high in the first 5 years after fracture. CONCLUSION: Based on the studies, it can be assumed that the conversion rate to TKA is approximately 5%. The risk for TKA is manageable in clinical practice. PROSPERO REGISTRATION NUMBER: CRD42023385311. LEVEL OF EVIDENCE: IV.
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spelling pubmed-105980982023-10-26 Risk for total knee arthroplasty after tibial plateau fractures: a systematic review Haslhofer, D. J. Kraml, N. Winkler, P. W. Gotterbarm, T. Klasan, A. Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: Tibial plateau fractures (TPFs) may lead to posttraumatic osteoarthritis and increase the risk for total knee arthroplasty (TKA). The aim of this systematic review was to analyse the conversion rate to TKA after TPF treatment. METHODS: A systematic search for studies reviewing the conversion rate to TKA after TPF treatment was conducted. The studies were screened and assessed by two independent observers. The conversion rate was analysed overall and for selected subgroups, including different follow-up times, treatment methods, and study sizes. RESULTS: A total of forty-two eligible studies including 52,577 patients were included in this systematic review. The overall conversion rate of treated TPF to TKA in all studies was 5.1%. Thirty-eight of the forty-two included studies indicated a conversion rate under 10%. Four studies reported a higher percentage, namely, 10.8%, 10.9%, 15.5%, and 21.9%. Risk factors for TKA following TPF treatment were female sex, age, and low surgeon and hospital volume. The conversion rate to TKA is particularly high in the first 5 years after fracture. CONCLUSION: Based on the studies, it can be assumed that the conversion rate to TKA is approximately 5%. The risk for TKA is manageable in clinical practice. PROSPERO REGISTRATION NUMBER: CRD42023385311. LEVEL OF EVIDENCE: IV. Springer Berlin Heidelberg 2023-10-04 2023 /pmc/articles/PMC10598098/ /pubmed/37792085 http://dx.doi.org/10.1007/s00167-023-07585-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Knee
Haslhofer, D. J.
Kraml, N.
Winkler, P. W.
Gotterbarm, T.
Klasan, A.
Risk for total knee arthroplasty after tibial plateau fractures: a systematic review
title Risk for total knee arthroplasty after tibial plateau fractures: a systematic review
title_full Risk for total knee arthroplasty after tibial plateau fractures: a systematic review
title_fullStr Risk for total knee arthroplasty after tibial plateau fractures: a systematic review
title_full_unstemmed Risk for total knee arthroplasty after tibial plateau fractures: a systematic review
title_short Risk for total knee arthroplasty after tibial plateau fractures: a systematic review
title_sort risk for total knee arthroplasty after tibial plateau fractures: a systematic review
topic Knee
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598098/
https://www.ncbi.nlm.nih.gov/pubmed/37792085
http://dx.doi.org/10.1007/s00167-023-07585-8
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