CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(01): 037-044
DOI: 10.1016/j.rbo.2017.09.004
Original Article | Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Comparative Study of Function and Quality of Life in Patients with Fracture of the Tibial Plateau Operated with Locked or Conventional Plates[*]

Article in several languages: português | English
1  Faculdade de Ciências Médica e da Saúde de Juiz de Fora (Suprema), Juiz de Fora, MG, Brasil
,
Thiago Avelino Leite
2  Serviço de Ortopedia e Traumatologia, Hospital e Maternidade Therezinha de Jesus (HMTJ), Juiz de Fora, MG, Brasil
,
Tarsis Aparecido Bueno da Silva
1  Faculdade de Ciências Médica e da Saúde de Juiz de Fora (Suprema), Juiz de Fora, MG, Brasil
,
Carlos Otavio Fabiano de Faria Candido
1  Faculdade de Ciências Médica e da Saúde de Juiz de Fora (Suprema), Juiz de Fora, MG, Brasil
,
Felipe Freesz de Almeida
1  Faculdade de Ciências Médica e da Saúde de Juiz de Fora (Suprema), Juiz de Fora, MG, Brasil
,
Valdeci Manoel de Oliveira
1  Faculdade de Ciências Médica e da Saúde de Juiz de Fora (Suprema), Juiz de Fora, MG, Brasil
› Author Affiliations
Further Information

Publication History

18 August 2017

19 September 2017

Publication Date:
01 March 2019 (online)

Abstract

Objective

To compare clinical, functional, and quality of life outcomes between patients with tibial plateau fractures operated with locked or conventional plates, and to compare the costs of these implants.

Methods

This was a comparative cross-sectional study of a consecutive series of patients with tibial plateau fractures treated surgically from August 2015 to June 2016. Patients < 18 years old, those unable to answer the questionnaires or to attend the outpatient reassessment, polytrauma patients, those with associated injuries on the ipsilateral limb, and patients who had not undergone treatment with bone plates were excluded. The present study compared the costs of the implants for the hospital, quality of life (with the 12-Item Short Form Health Survey [SF-12]), Lysholm score, pain scale, and clinical and radiological parameters.

Results

A total of 45 patients with tibial plateau fractures were admitted, and 11 cases were excluded. Two cases were lost to follow-up; therefore, 32 remained for the analysis (94%). The mean follow-up time was of 15.1 months (standard deviation [SD] = 4.8 months). In group A (locked plates), there were 22 patients (69%), at an average hospital cost of BRL 4,125.39/patient (SD = 1,634.79/patient) for the implants. In group B (conventional plates) there were 10 patients (31%), at an average cost of BRL 438.53 (SD = 161.8/patient) (p < 0.00001). For the other parameters, no differences were observed, except for a greater articular depression in group A (2.7 mm ± 3.3 mm versus 0.5 mm ± 1.6 mm; p = 0.02; TE = 0.90).

Conclusion

The costs of locked implants for the treatment of tibial plateau fractures are significantly higher than those of conventional implants, without any clinical, quality of life, radiological, or functional advantages of the locked implants demonstrated in the present series.

* Work developed at the Orthopedics and Traumatology Service, Hospital e Maternidade Therezinha de Jesus, Juiz de Fora, MG, Brazil