Comparison of AO, Schatzker, and three-column classification systems in tibial plateau fractures: Impact on functional outcomes

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dc.authoridErem, Murat/0000-0002-9743-5515
dc.authoridSelçuk, Eşref/0000-0002-1657-1110
dc.authoridCiftdemir, Mert/0000-0002-9677-2819
dc.authorwosidErem, Murat/P-6240-2018
dc.authorwosidSelçuk, Eşref/HDM-6006-2022
dc.contributor.authorSelcuk, Esref
dc.contributor.authorErem, Murat
dc.contributor.authorCopuroglu, Cem
dc.contributor.authorOzcan, Mert
dc.contributor.authorCiftdemir, Mert
dc.date.accessioned2024-06-12T10:56:37Z
dc.date.available2024-06-12T10:56:37Z
dc.date.issued2024
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives: This study aimed to compare the AO, Schatzker, and Three-Column classification systems for tibial plateau fractures, focusing on their prognostic and functional outcome prediction and influence on clinical decisions across different trauma types. Patients and methods: In this retrospective study, we examined 49 patients (36 males, 11 females; mean age: 40.6 +/- 11.8 years; range, 19 to 67 years) with tibial plateau fractures between January 2011 and January 2017. The fractures were classified using the AO, Schatzker, and three-column systems. The main outcome measurements included functional scores (Knee Injury and Osteoarthritis Outcome Score [KOOS], Hospital for Special Surgery [HSS]), range of motion (ROM), duration of hospitalization, thigh atrophy, operation time, and the development of osteoarthritis. The impact of smoking was also assessed. Results: According to the AO classification, type B fractures obtained higher KOOS and HSS scores compared to type C fractures (p=0.013 and p=0.007, respectively). According to the Schatzker classification low-energy fractures achieved higher KOOS and HSS scores than high-energy fractures (p=0.013 and p=0.026, respectively). One-column fractures had higher KOOS and HSS scores compared to two-column and three-column fractures (p=0.007 and p=0.001, respectively). Two-column fractures had a lower ROM compared to other column fractures (p=0.022). Shorter hospital stays were recorded for Schatzker low-energy fractures (p=0.016), whereas higher thigh atrophy was found in Schatzker high-energy fractures (p=0.022) and AO type C fractures (p=0.018). Longer operation times were observed in AO type C fractures (p=0.037) and Schatzker high-energy fractures (p=0.017). According to the Kellgren-Lawrence classification, AO type C fractures and three-column fractures yielded worse outcomes (p=0.039 and p=0.001, respectively). Smoking had a negative impact on functional KOOS and HSS scores across all groups (p=0.022 and p=0.001, respectively). Conclusion: This study highlights the predictive value of the AO, Schatzker, and Three-Column classification systems in determining functional outcomes and clinical data in tibial plateau fractures. Each system provides unique insights into different outcomes, suggesting their concurrent application may yield a more comprehensive prognosis.en_US
dc.identifier.doi10.52312/jdrs.2023.1256
dc.identifier.endpage120en_US
dc.identifier.issn2687-4792
dc.identifier.issue1en_US
dc.identifier.pmid38108172en_US
dc.identifier.scopus2-s2.0-85180385162en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage112en_US
dc.identifier.trdizinid1227232en_US
dc.identifier.urihttps://doi.org/10.52312/jdrs.2023.1256
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1227232
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19860
dc.identifier.volume35en_US
dc.identifier.wosWOS:001096303900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.relation.ispartofJoint Diseases And Related Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectClassificationen_US
dc.subjectHealth Careen_US
dc.subjectOutcome Assessmenten_US
dc.subjectTibial Plateau Fracturesen_US
dc.subjectOsteoarthritisen_US
dc.subjectReliabilityen_US
dc.titleComparison of AO, Schatzker, and three-column classification systems in tibial plateau fractures: Impact on functional outcomesen_US
dc.typeArticleen_US

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