Arthroscopic Assisted Reduction and Fixation in Tibial Plateau Fractures: A Prospective Review.

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Abstract

Conflict of interest statement: Conflict of Interest: Nil 19. Rev Esp Cir Ortop Traumatol. 2024 Jan-Feb;68(1):44-49. doi: 10.1016/j.recot.2023.07.002. Epub 2023 Jul 13. Risk factors for infection of tibial plateau fractures. [Article in English, Spanish] Coelho A(1), Parés-Alfonso I(2), Companys R(2), Sánchez-Soler JF(2), Torres-Claramunt R(3), Alier A(2), Monllau JC(3). Author information: (1)Servicio de Cirugía Ortopédica y Traumatología, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: alexandrecoelholeal@gmail.com. (2)Servicio de Cirugía Ortopédica y Traumatología, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, España. (3)Servicio de Cirugía Ortopédica y Traumatología, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, España; ICATME, Hospital Universitari Dexeus, Universitat Autònoma de Barcelona, Barcelona, España. INTRODUCTION: Tibial plateau fractures are injuries prone to postoperative infection, with its reported incidence being higher than that of other fractures, between 5% and 12%. The primary objectives of this study were to quantify the postoperative infection rate of internal fixation of tibial plateau fractures (TPF) and to identify the risk factors for this. MATERIAL AND METHODS: Retrospective cohort study including patients who underwent TPF osteosynthesis between 2015 and 2020, in the same center. The study population was divided into two groups, according to the presence or absence of postoperative infection. Demographic variables related to the fracture, surgical parameters, as well as the need for reoperation were collected. Finally, in the case of debridement, the number of positive cultures and the pathogen responsible for the infection were collected, as well as the treatment applied. RESULTS: One hundred and twenty-four patients were included, with a total of 14 infections (global infection rate of 11.3%). Risk factors for developing infection were open fractures (P=.002), Schatzker V and VI type fractures (P=.002) and the use of external fixation (P