Related Experiment Video
Updated: Aug 6, 2025
A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies
Published on: July 4, 2017
Patellar height changes after treatment of tibia plateau fractures: A radiological analysis
Özgür Doğan1, Ahmet Çulcu1, İhsaniye Süer Doğan1
1From the Department of Orthopaedics and Traumatology (Ö. Doğan), Ankara City Hospital, from the Department of Radiology (İ. Doğan), Ankara Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, and from the Department of Orthopaedics and Traumatology (Çulcu), Yüksekova State Hospital, Hakkari, Turkey.
Objectives:
To determine the impact of tibial plateau fractures on patellar height and the factors affecting this impact.
Methods:
A total of 40 patients treated for plateau fractures between 2017-2021 were evaluated in this retrospective prognostic study. The patient group consisted of lateral radiographs of the operated knees, whereas the control group consisted of lateral radiographs of the healthy sides of the same patients. Insall-Salvati, Caton-Deschamps, Blackburne-Peel, and modified Insall-Salvati indices were measured for both groups. In addition, Schaztker and Luo classifications, as well as the demographic profiles of the patients, were analyzed.
Results:
There was no significant difference between the groups in terms of patellar height indices (p>0.05). A significant relationship was found between the Insall-Salvati (p=0.046) and Blackburne-Pell (p=0.011) indices and Luo classification. Post hoc analyses revealed a significant relationship between the Insall-Salvati index and "One Column" fractures and between the Blackburne-Peel index and "Two Column" fractures.
Conclusion:
Long-term functions of tibial plateau fractures should be evaluated not only with a painless range of motion but also with patellar height. It should be noted that the Luo classification, which evaluates the plateau 3-dimensionally, may be associated with changes in postoperative patellar height values.
Related Concept Videos
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
01:16Bones of the Lower Limb: Femur and Patella
01:09Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...