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Better functional outcomes for ORIF in tibial eminence fracture treatment: a national comparative multicentric study of ORIF vs ARIF
Purpose Tibial eminence fractures can occur in adults and are equivalent to an acute ACL rupture. The purpose of this retrospective study was to compare the therapeutic outcomes of ARIF versus ORIF in tibial eminence fractures. Our hypothesis was that ARIF does not offer better results. Methods A re...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2020-02, Vol.28 (2), p.653-657 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Pailhé, Régis Bauer, Thomas Flecher, Xavier Bonnevialle, Nicolas Roussignol, Xavier Saragaglia, Dominique Ehlinger, Matthieu |
| description | Purpose
Tibial eminence fractures can occur in adults and are equivalent to an acute ACL rupture. The purpose of this retrospective study was to compare the therapeutic outcomes of ARIF versus ORIF in tibial eminence fractures. Our hypothesis was that ARIF does not offer better results.
Methods
A retrospective national multicentric study was conducted in five university hospitals between 2010 and 2015. A total of 65 consecutive patients were included. 33 patients were treated with ARIF and 32 with ORIF. Clinical functional outcomes were assessed using the Lysholm score and IKDC score. Radiographic findings were recorded, and a statistical analysis carried out.
Results
IKDC score at the mean last follow-up of 68.8 ± 11.8 months was significantly higher in the ORIF group with a mean difference of 20.2 points ± 8.9 (
p
= 0.028). There were early osteoarthritis findings in 12 patients (18.4%). At last follow-up, 7 patients (10.7%) presented complications.
Conclusion
In this retrospective multicentric study, better functional outcomes were observed in the ORIF group. This difference needs to be carefully interpreted as many confounding factors exist. In terms of complications, the results for both ORIF and ARIF are similar at midterm follow-up. ORIF should remain gold standard for tibial eminence fracture treatment.
Level of evidence
III. |
| doi_str_mv | 10.1007/s00167-019-05785-9 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03176984v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2348855840</sourcerecordid><originalsourceid>FETCH-LOGICAL-c453t-135419e0b632a078ba0c5107c5733f56f4f5a9077d37d6bce2e49a97c140c9b23</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi1ERZfCH-CALHGBQ8o4tuOY27aitNJKlRCcLcc7AVdJvNjOSr3zw_GSpUg99OSPeeaxNS8hbxicMwD1MQGwRlXAdAVStbLSz8iKCc4rxYV6TlagRV3VIJtT8jKlO4CyFfoFOeVMaQU1rMjvC8wZI-3nyWUfJjvQMGcXRky0D5Hefr25on6i2Xe-1HD0E04OaR-ty3NEmiPaPOKUP1FLJ3t0FMHOxnLaIx3nIXtXiOgdTXne3tPQL-J9ouuyviInvR0Svj6uZ-T71edvl9fV5vbLzeV6Uzkhea4Yl4JphK7htQXVdhacZKCcVJz3sulFL60GpbZcbZvOYY1CW60cE-B0V_Mz8mHx_rSD2UU_2nhvgvXmer0xhzsog2l0K_assO8XdhfDrxlTNqNPDofBThjmZGpes6apG3VA3z1C78IcyxgOlGhbKVsBhaoXysWQUsT-4QcMzCFPs-RpSp7mb55Gl6a3R_Xcjbh9aPkXYAH4AqRSmn5g_P_2E9o_cC2p8w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2348855840</pqid></control><display><type>article</type><title>Better functional outcomes for ORIF in tibial eminence fracture treatment: a national comparative multicentric study of ORIF vs ARIF</title><source>Wiley</source><source>SPORTDiscus</source><source>Springer Link</source><creator>Pailhé, Régis ; Bauer, Thomas ; Flecher, Xavier ; Bonnevialle, Nicolas ; Roussignol, Xavier ; Saragaglia, Dominique ; Ehlinger, Matthieu</creator><creatorcontrib>Pailhé, Régis ; Bauer, Thomas ; Flecher, Xavier ; Bonnevialle, Nicolas ; Roussignol, Xavier ; Saragaglia, Dominique ; Ehlinger, Matthieu ; SOFCOT ; The SOFCOT</creatorcontrib><description>Purpose
Tibial eminence fractures can occur in adults and are equivalent to an acute ACL rupture. The purpose of this retrospective study was to compare the therapeutic outcomes of ARIF versus ORIF in tibial eminence fractures. Our hypothesis was that ARIF does not offer better results.
Methods
A retrospective national multicentric study was conducted in five university hospitals between 2010 and 2015. A total of 65 consecutive patients were included. 33 patients were treated with ARIF and 32 with ORIF. Clinical functional outcomes were assessed using the Lysholm score and IKDC score. Radiographic findings were recorded, and a statistical analysis carried out.
Results
IKDC score at the mean last follow-up of 68.8 ± 11.8 months was significantly higher in the ORIF group with a mean difference of 20.2 points ± 8.9 (
p
= 0.028). There were early osteoarthritis findings in 12 patients (18.4%). At last follow-up, 7 patients (10.7%) presented complications.
Conclusion
In this retrospective multicentric study, better functional outcomes were observed in the ORIF group. This difference needs to be carefully interpreted as many confounding factors exist. In terms of complications, the results for both ORIF and ARIF are similar at midterm follow-up. ORIF should remain gold standard for tibial eminence fracture treatment.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-019-05785-9</identifier><identifier>PMID: 31797020</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthritis ; Biomedical materials ; Complications ; Engineering Sciences ; Fractures ; Hypotheses ; Knee ; Medicine ; Medicine & Public Health ; Orthopedics ; Osteoarthritis ; Patients ; Statistical analysis ; Surgery</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-02, Vol.28 (2), p.653-657</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-135419e0b632a078ba0c5107c5733f56f4f5a9077d37d6bce2e49a97c140c9b23</citedby><cites>FETCH-LOGICAL-c453t-135419e0b632a078ba0c5107c5733f56f4f5a9077d37d6bce2e49a97c140c9b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31797020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03176984$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Pailhé, Régis</creatorcontrib><creatorcontrib>Bauer, Thomas</creatorcontrib><creatorcontrib>Flecher, Xavier</creatorcontrib><creatorcontrib>Bonnevialle, Nicolas</creatorcontrib><creatorcontrib>Roussignol, Xavier</creatorcontrib><creatorcontrib>Saragaglia, Dominique</creatorcontrib><creatorcontrib>Ehlinger, Matthieu</creatorcontrib><creatorcontrib>SOFCOT</creatorcontrib><creatorcontrib>The SOFCOT</creatorcontrib><title>Better functional outcomes for ORIF in tibial eminence fracture treatment: a national comparative multicentric study of ORIF vs ARIF</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
Tibial eminence fractures can occur in adults and are equivalent to an acute ACL rupture. The purpose of this retrospective study was to compare the therapeutic outcomes of ARIF versus ORIF in tibial eminence fractures. Our hypothesis was that ARIF does not offer better results.
Methods
A retrospective national multicentric study was conducted in five university hospitals between 2010 and 2015. A total of 65 consecutive patients were included. 33 patients were treated with ARIF and 32 with ORIF. Clinical functional outcomes were assessed using the Lysholm score and IKDC score. Radiographic findings were recorded, and a statistical analysis carried out.
Results
IKDC score at the mean last follow-up of 68.8 ± 11.8 months was significantly higher in the ORIF group with a mean difference of 20.2 points ± 8.9 (
p
= 0.028). There were early osteoarthritis findings in 12 patients (18.4%). At last follow-up, 7 patients (10.7%) presented complications.
Conclusion
In this retrospective multicentric study, better functional outcomes were observed in the ORIF group. This difference needs to be carefully interpreted as many confounding factors exist. In terms of complications, the results for both ORIF and ARIF are similar at midterm follow-up. ORIF should remain gold standard for tibial eminence fracture treatment.
Level of evidence
III.</description><subject>Arthritis</subject><subject>Biomedical materials</subject><subject>Complications</subject><subject>Engineering Sciences</subject><subject>Fractures</subject><subject>Hypotheses</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Patients</subject><subject>Statistical analysis</subject><subject>Surgery</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kU1v1DAQhi1ERZfCH-CALHGBQ8o4tuOY27aitNJKlRCcLcc7AVdJvNjOSr3zw_GSpUg99OSPeeaxNS8hbxicMwD1MQGwRlXAdAVStbLSz8iKCc4rxYV6TlagRV3VIJtT8jKlO4CyFfoFOeVMaQU1rMjvC8wZI-3nyWUfJjvQMGcXRky0D5Hefr25on6i2Xe-1HD0E04OaR-ty3NEmiPaPOKUP1FLJ3t0FMHOxnLaIx3nIXtXiOgdTXne3tPQL-J9ouuyviInvR0Svj6uZ-T71edvl9fV5vbLzeV6Uzkhea4Yl4JphK7htQXVdhacZKCcVJz3sulFL60GpbZcbZvOYY1CW60cE-B0V_Mz8mHx_rSD2UU_2nhvgvXmer0xhzsog2l0K_assO8XdhfDrxlTNqNPDofBThjmZGpes6apG3VA3z1C78IcyxgOlGhbKVsBhaoXysWQUsT-4QcMzCFPs-RpSp7mb55Gl6a3R_Xcjbh9aPkXYAH4AqRSmn5g_P_2E9o_cC2p8w</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Pailhé, Régis</creator><creator>Bauer, Thomas</creator><creator>Flecher, Xavier</creator><creator>Bonnevialle, Nicolas</creator><creator>Roussignol, Xavier</creator><creator>Saragaglia, Dominique</creator><creator>Ehlinger, Matthieu</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope></search><sort><creationdate>20200201</creationdate><title>Better functional outcomes for ORIF in tibial eminence fracture treatment: a national comparative multicentric study of ORIF vs ARIF</title><author>Pailhé, Régis ; Bauer, Thomas ; Flecher, Xavier ; Bonnevialle, Nicolas ; Roussignol, Xavier ; Saragaglia, Dominique ; Ehlinger, Matthieu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-135419e0b632a078ba0c5107c5733f56f4f5a9077d37d6bce2e49a97c140c9b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Arthritis</topic><topic>Biomedical materials</topic><topic>Complications</topic><topic>Engineering Sciences</topic><topic>Fractures</topic><topic>Hypotheses</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Patients</topic><topic>Statistical analysis</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pailhé, Régis</creatorcontrib><creatorcontrib>Bauer, Thomas</creatorcontrib><creatorcontrib>Flecher, Xavier</creatorcontrib><creatorcontrib>Bonnevialle, Nicolas</creatorcontrib><creatorcontrib>Roussignol, Xavier</creatorcontrib><creatorcontrib>Saragaglia, Dominique</creatorcontrib><creatorcontrib>Ehlinger, Matthieu</creatorcontrib><creatorcontrib>SOFCOT</creatorcontrib><creatorcontrib>The SOFCOT</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pailhé, Régis</au><au>Bauer, Thomas</au><au>Flecher, Xavier</au><au>Bonnevialle, Nicolas</au><au>Roussignol, Xavier</au><au>Saragaglia, Dominique</au><au>Ehlinger, Matthieu</au><aucorp>SOFCOT</aucorp><aucorp>The SOFCOT</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Better functional outcomes for ORIF in tibial eminence fracture treatment: a national comparative multicentric study of ORIF vs ARIF</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>28</volume><issue>2</issue><spage>653</spage><epage>657</epage><pages>653-657</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Tibial eminence fractures can occur in adults and are equivalent to an acute ACL rupture. The purpose of this retrospective study was to compare the therapeutic outcomes of ARIF versus ORIF in tibial eminence fractures. Our hypothesis was that ARIF does not offer better results.
Methods
A retrospective national multicentric study was conducted in five university hospitals between 2010 and 2015. A total of 65 consecutive patients were included. 33 patients were treated with ARIF and 32 with ORIF. Clinical functional outcomes were assessed using the Lysholm score and IKDC score. Radiographic findings were recorded, and a statistical analysis carried out.
Results
IKDC score at the mean last follow-up of 68.8 ± 11.8 months was significantly higher in the ORIF group with a mean difference of 20.2 points ± 8.9 (
p
= 0.028). There were early osteoarthritis findings in 12 patients (18.4%). At last follow-up, 7 patients (10.7%) presented complications.
Conclusion
In this retrospective multicentric study, better functional outcomes were observed in the ORIF group. This difference needs to be carefully interpreted as many confounding factors exist. In terms of complications, the results for both ORIF and ARIF are similar at midterm follow-up. ORIF should remain gold standard for tibial eminence fracture treatment.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31797020</pmid><doi>10.1007/s00167-019-05785-9</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-02, Vol.28 (2), p.653-657 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_03176984v1 |
| source | Wiley; SPORTDiscus; Springer Link |
| subjects | Arthritis Biomedical materials Complications Engineering Sciences Fractures Hypotheses Knee Medicine Medicine & Public Health Orthopedics Osteoarthritis Patients Statistical analysis Surgery |
| title | Better functional outcomes for ORIF in tibial eminence fracture treatment: a national comparative multicentric study of ORIF vs ARIF |
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