Risk factors of hospitalization costs and length of stay for tibial plateau fractures

2022 ◽  
Author(s):  
ZhiQiang Xue ◽  
JunZhe Lang ◽  
Lei Chen ◽  
JianDong Yuan ◽  
Kai Zhou
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Hospitalization Costs

scholarly journals Incidence and locations of deep venous thrombosis of the lower extremity following surgeries of tibial plateau fractures: a prospective cohort study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Junyong Li ◽  
Yanbin Zhu ◽  
Wei Chen ◽  
Kuo Zhao ◽  
Junzhe Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Tibial Plateau ◽  
Lower Extremities ◽  
Tibial Plateau Fractures ◽  
Targeted Prevention ◽  
Independent Risk Factors ◽  
Laboratory Biomarkers ◽  
Univariate Analyses

Abstract Objective To investigate the incidence of deep venous thrombosis (DVT) of the lower extremities following surgeries of tibial plateau fractures. Methods Retrospective analysis of the prospectively collected data on patients undergoing surgeries of tibial plateau fractures between October 2014 and December 2018 was conducted. Duplex ultrasonography (DUS) was used to screen for postoperative DVT of the bilateral lower extremities. Data on demographics, comorbidities, injury, surgery, and laboratory biomarkers at admission were collected. Univariate analyses and multivariate logistic regression analyses were used to identify the independent risk factors associated with DVT. Results Among 987 patients included, 46 (4.7%) had postoperative DVT, with incidence rate of 1.0% for proximal and 3.7% for distal DVT. The average interval between operation and DVT was 8.3 days (median, 5.8 days), ranging from 2 to 42 days. DVT involved the injured extremity in 39 (84.8%) patients, both the injured and uninjured extremity in 2 patients (4.3%) and only the uninjured extremity in 5 patients (10.9%). Five risk factors were identified to be associated with postoperative DVT, including age (≥ 41 vs < 41 years) (OR 3.08; 95% CI 1.43–6.61; p = 0.004), anesthesia (general vs regional) (OR 2.08; 95% CI 1.12–3.85; p = 0.021), hyponatremia (OR 2.21; 95% CI 1.21–4.06; p = 0.010), prolonged surgical time (OR 1.04; 95% CI 1.01–1.07; p = 0.017) and elevated D-dimer level (OR 2.79; 95% CI 1.34–4.83; p = 0.004). Conclusion These epidemiologic data may be helpful in individualized assessment, risk stratification, and development of targeted prevention programs.

Adverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures

2015 ◽  
Vol 29 (3) ◽  
pp. e121-e126 ◽  
Author(s):  
Bryce A. Basques ◽  
Matthew L. Webb ◽  
Daniel D. Bohl ◽  
Nicholas S. Golinvaux ◽  
Jonathan N. Grauer
Keyword(s):  
Length Of Stay ◽  
Adverse Events ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures

Risk Factors of Infection After ORIF of Bicondylar Tibial Plateau Fractures

2013 ◽  
Vol 27 (9) ◽  
pp. e196-e200 ◽  
Author(s):  
Brent J. Morris ◽  
R. Zackary Unger ◽  
Kristin R. Archer ◽  
Shannon L. Mathis ◽  
Aaron M. Perdue ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Bicondylar Tibial Plateau

Total Knee Arthroplasty versus Osteochondral Allograft: Prevalence and Risk Factors following Tibial Plateau Fractures

2018 ◽  
Vol 32 (04) ◽  
pp. 380-386 ◽  
Author(s):  
Lasun Oladeji ◽  
Tina Dreger ◽  
Eli Pratte ◽  
Charles Baumann ◽  
James Stannard ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Joint Replacement ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Osteochondral Allograft ◽  
Knee Arthritis ◽  
Initial Surgery ◽  
Total Knee

AbstractOrthopaedic surgeons commonly have the misconception that patients with tibial plateau fractures will likely go on to posttraumatic knee arthritis requiring total knee arthroplasty (TKA). In younger patients, osteochondral allograft (OCA) transplantation is an alternative method to address posttraumatic knee arthritis. The purpose of this study was (1) to identify our institutional failure rate following tibial plateau open reduction and internal fixation (ORIF) (failure was defined as conversion to TKA or OCA); (2) to determine if there are patient- or injury-related risk factors predictive of failure; and (3) to characterize differences between patients treated with TKA versus those treated with OCA transplantation. A 10-year retrospective review was conducted to identify patients treated at our institution with a tibial plateau fracture. Patients included in the final analysis were at least 18 years of age with an articular fracture (AO/OTA 41 B/C). The primary outcome was subsequent ipsilateral OCA or TKA. There were 350 patients (359 tibial plateau fractures) with a mean follow-up of 22.3 months (range, 6–133 months) who met inclusion criteria. Twenty-seven fractures (7.5%) were subsequently converted to a TKA or OCA at an average of 3.75 ± 3.1 years following their initial surgery. Patients who consumed tobacco were 2.3 times more likely to require a joint replacement (confidence interval [CI], 1.0–5.2; p = 0.04). Those patients who received an OCAs were significantly younger as compared with their TKA peers, both at time of initial injury (37 vs. 51 years, p = 0.02) and at time of surgery (41 vs. 55 years, p = 0.009). The joint replacement rate in this study is similar to those studies in the published literature that focused solely on the prevalence of conventional TKA. Tobacco is a risk factor for failure following tibial plateau ORIF. Patients who were treated with an OCA were younger at time of injury and failure.

Functional outcomes of bicondylar tibial plateau fractures treated with dual buttress plates and risk factors: A case series

Injury ◽  
2014 ◽  
Vol 45 (12) ◽  
pp. 1980-1984 ◽  
Author(s):  
Yunfeng Yao ◽  
Hao Lv ◽  
Junfeng Zan ◽  
Jun Li ◽  
Nan Zhu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Functional Outcomes ◽  
Tibial Plateau ◽  
Case Series ◽  
Tibial Plateau Fractures ◽  
Bicondylar Tibial Plateau

scholarly journals Incidence and locations of preoperative deep venous thrombosis (DVT) of lower extremity following tibial plateau fractures: a prospective cohort study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yanbin Zhu ◽  
Wei Chen ◽  
Junyong Li ◽  
Kuo Zhao ◽  
Junzhe Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Tibial Plateau ◽  
Lower Extremities ◽  
Sodium Concentration ◽  
Tibial Plateau Fractures ◽  
Targeted Prevention ◽  
Related Data ◽  
Vein Thrombosis

Abstract Background There is still lack of data on deep vein thrombosis (DVT) following bone trauma. This study aimed to determine the epidemiologic characteristics of deep venous thrombosis (DVT) of lower extremities following tibial plateau fractures. Methods Retrospective analysis of prospectively collected data on patients presenting with tibial plateau fractures between October 2014 and December 2018 was conducted. Duplex ultrasonography (DUS) was routinely used to screen for preoperative DVT of bilateral lower extremities. Data on demographics, comorbidities, injury-related data, and laboratory biomarkers at admission were collected. Univariate analyses and multivariate logistic regression analyses were used to identify the independent risk factors associated with DVT. Results A total of 1179 patients were included, among whom 192 (16.3%) had a preoperative DVT, with incidence rate of 1.0% for proximal and 15.3% for distal DVT. The average interval between fracture occurrence and diagnosis of DVT was 3.5 days (median, 2 days), ranging from 0 to 19 days. DVT involved the injured extremity in 166 (86.4%) patients, both the injured and uninjured extremities in 14 patients (7.3%) and only the uninjured extremity in 12 patients (6.3%). Six risk factors were identified to be associated with DVT, including gender (male vs female), hypertension, open fracture, alkaline phosphatase > 100 u/L, sodium concentration < 135 mmol/L, and D-dimer > 0.5 mg/L. Conclusion These epidemiologic data are conducive to the individualized assessment, risk stratification, and development of targeted prevention programs.

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