Functional evaluation of periarticular knee fractures treated at the Orthopedics and Traumatology Institute of the University of São Paulo Medical School (IOT-HC-FMUSP): retrospective cross-sectional study
DOI:
https://doi.org/10.62827/fb.v25i3.1006Keywords:
Knee fractures; patella; tibial plateau fractures; femoral fractures distal; rehabilitation.Abstract
Objective: to evaluate the functional capacity in patients with periarticular fractures of the knee treated at the IOT-HC-FMUSP, determining the mechanism of trauma and the most frequent type of fracture, as well as associating how the severity of fractures influences functional issues. Methods: a retrospective cross-sectional study evaluating 21 patients with surgically treated periarticular knee fractures (femur distal, patellar, tibial plateau), aged between 18 and 59 years. The patients underwent an assessment that included goniometry verification of knee range of motion, Timed up and Go test, Sit to Stand test and Lysholm questionnaire. Results: The overall results of the fractures were: TUG: 9.96 ± 4.06; STS: 10.7 ± 3.6 and the Lysholm scale 58.05 ± 24.62 (52% poor). The individual results of the fractures were: Range of motion in extension (P: 0 ± 0; DF: 2.5 ± 5; PT: 0.57 ± 1.50) and flexion (P: 137 ± 2.89; DF: 103 ± 13.7; PT: 126 ± 9.79); Timed up and Go (P: 9.51 ± 1.79; FD: 11.7 ± 7.8; PT: 9.55 ± 3.1); Sit to stand (P: 9 ± 3; FD: 10.8 ± 6.4; PT: 11 ± 2.88); Lysholm (P: 54 ± 42.2; FD: 48.3 ± 24.9; PT: 61.7 ± 21.6). It was observed that patients with less severe fractures, mostly without associated injuries, had better results in the functional tests. Conclusion: Individuals with distal femoral fractures had the worst results in terms of functional capacity in all assessments, ROM, the Lysholm Scale and the TUG and STS tests, compared to the other fractures, of the tibial plateau and patella. The most recurrent periarticular knee fractures were tibial plateau fractures, 66.7% of the total, followed by distal femur fractures, 19%, and patellar fractures, 14.3%. The most recurrent mechanism of trauma was motor vehicle accidents (48% of cases), and men were the most affected ,62% of patients.
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Copyright (c) 2024 Aline Ferreira Guimarães Gubolin, Silvia Ferreira Andrusaitis, Cleidneia Clemente da Silva, Pérola Grinberg Plapler, Érica Aparecida Gomes da Silva, Bruna Paloma do Nascimento (Autor)
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