• Ulus Travma Acil Cer · May 2015

    [The impact of obesity on the outcomes of the patients operated on due to Schatzker type I and type II tibial plateau fractures].

    • Gültekin Sıtkı Çeçen, Deniz Gülabi, Gökhan Pehlivanoğlu, Nurzat Elmalı, and Akif Teköz.
    • Department of Orthopedics and Traumatology, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, Turkey. gcecen2002@yahoo.com.
    • Ulus Travma Acil Cer. 2015 May 1;21(3):209-15.

    BackgroundThis study aimed to conduct a clinical and radiological analysis of treatment results in Schatzker type I and type II tibial plateau fractures and investigate the effect of Body Mass Index on these results.MethodsA total of 64 patients (44 male [68.8%], 20 female [31.3%]; mean age 21-80; range 45.05±13.47 years) undergoing surgery for Schatzker type I and type II tibial plateau fractures were included into the study. Clinical and radiological results were evaluated according to Rasmussen scores. During evaluation, BMI of the patients was reported. The effects of obesity on these clinical and radiological results were further evaluated.ResultsIn Schatzker type II cases, there was an indirect 48.4% statistically significant relation (p<0.01) between Rasmussen Clinical scores and age.DiscussionIn Type II fractures, the results of obese patients were found to be worse when compared to patients with normal weight. While obesity is not a problem which can be overcome in a short time interval, close follow-up and careful rehabilitation are essential to achieve good results in this group of patients.

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