RETURN TO SPORT AFTER SURGICAL TREATED TIBIAL PLATEAU FRACTURES.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Traumatology

Background:

• Tibial plateau fractures (TPF) are intraarticular injuries often resulting in significant functional morbidity.
• While clinical outcomes of TPF surgery are documented, evidence on return to sport is limited.

Purpose of the Study:

• To evaluate sporting abilities and clinical outcomes in patients after operative treatment for tibial plateau fractures.

Main Methods:

• Retrospective study of 47 patients (20 women, 27 men) surgically treated for TPF.
• Fractures classified using AO Classification.
• Assessed clinical outcomes and return to sport using Lysholm-Gillquist, IKDC, I-PRRS, and ACL-RSI scales.

Main Results:

• All fractures united without complications or need for revision surgery.
• Mean postoperative scores: IKDC 75, Lysholm 82, ACL-RSI 66, I-PRRS 39.
• 31/47 patients returned to their former sport level; 8/47 did not, 2/47 changed sports, and 6/47 stopped sports.

Conclusions:

• Surgical treatment of TPF enables a majority of patients to return to their previous level of sporting activity.
• Patients reported satisfaction with outcomes, supported by favorable scores on functional and psychological readiness scales.