Abstract：
BACKGROUND: Tibial plateau fractures (TPFs) are usually associated with ligamentous or meniscal injuries that could remain misdiagnosed. An appropriate and early recognition may change the surgical management of these soft tissue injuries (STIs) that could be addressed concomitantly with TPF treatment. Magnetic resonance imaging (MRI) is an efficient diagnostic test to identify all associated STIs in TPFs. This study aims to analyze the MRI impact in identifying and guiding the STIs treatment in TPFs.
METHODS: This retrospective study included a consecutive series of 57 patients with TPFs treated between January 1st, 2022, and December 31st, 2022. All fracture patterns were classified according to the AO/OTA and Schatzker classification. The prevalence of STIs, including medial meniscus (MM), lateral meniscus (LM), anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL) injuries, was assessed through the MRI evaluation.
RESULTS: A statistical significance was found regarding the MRI detection of LM, ACL, PCL and MCL injuries that led to additional surgical procedures at the same time as the TPFs treatment (p < 0.05). In contrast, the amount of additional MM and LCL injuries identified by MRI, which resulted in other surgical procedures, was not statistically significant (p > 0.05).
CONCLUSIONS: Preoperative MRI has been demonstrated to be an effective procedure for diagnosing STIs in TPFs, significantly influencing and changing the surgical treatment.
METHODS: IV.
METHODS: This retrospective study included a consecutive series of 57 patients with TPFs treated between January 1st, 2022, and December 31st, 2022. All fracture patterns were classified according to the AO/OTA and Schatzker classification. The prevalence of STIs, including medial meniscus (MM), lateral meniscus (LM), anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL) injuries, was assessed through the MRI evaluation.
RESULTS: A statistical significance was found regarding the MRI detection of LM, ACL, PCL and MCL injuries that led to additional surgical procedures at the same time as the TPFs treatment (p < 0.05). In contrast, the amount of additional MM and LCL injuries identified by MRI, which resulted in other surgical procedures, was not statistically significant (p > 0.05).
CONCLUSIONS: Preoperative MRI has been demonstrated to be an effective procedure for diagnosing STIs in TPFs, significantly influencing and changing the surgical treatment.
METHODS: IV.
摘要：
背景：胫骨平台骨折（TPFs）通常与韧带或半月板损伤相关，可能会被误诊。适当的早期识别可能会改变这些软组织损伤（STIs）的手术管理，这些软组织损伤可以与TPF治疗同时解决。磁共振成像（MRI）是一种有效的诊断测试，可识别TPF中所有相关的性传播感染。本研究旨在分析MRI在识别和指导TPFs中的性传播感染治疗方面的影响。
方法：这项回顾性研究包括在1月1日之间连续治疗的57例TPF患者，2022年12月31日，2022年。所有骨折类型均根据AO/OTA和Schatzker分类进行分类。性传播感染的流行，包括内侧半月板（MM），外侧半月板（LM），前交叉韧带(ACL),后交叉韧带(PCL),内侧副韧带(MCL),外侧副韧带（LCL）损伤，通过MRI评估。
结果：关于LM的MRI检测发现有统计学意义，ACL,PCL和MCL损伤导致与TPFs治疗同时进行额外的外科手术(p<0.05)。相比之下,MRI确定的额外MM和LCL损伤的数量，导致了其他外科手术，无统计学意义(p>0.05)。
结论：术前MRI已被证明是诊断TPF中性传播感染的有效方法，显著影响和改变手术治疗。
方法：IV.
方法：这项回顾性研究包括在1月1日之间连续治疗的57例TPF患者，2022年12月31日，2022年。所有骨折类型均根据AO/OTA和Schatzker分类进行分类。性传播感染的流行，包括内侧半月板（MM），外侧半月板（LM），前交叉韧带(ACL),后交叉韧带(PCL),内侧副韧带(MCL),外侧副韧带（LCL）损伤，通过MRI评估。
结果：关于LM的MRI检测发现有统计学意义，ACL,PCL和MCL损伤导致与TPFs治疗同时进行额外的外科手术(p<0.05)。相比之下,MRI确定的额外MM和LCL损伤的数量，导致了其他外科手术，无统计学意义(p>0.05)。
结论：术前MRI已被证明是诊断TPF中性传播感染的有效方法，显著影响和改变手术治疗。
方法：IV.
