title: [Quality of life and job performance resulting from operatively treated tibial plateau fractures].
abstract: BACKGROUND
  The aim of this article is to present the functional results and the effect on quality of life of surgically treated tibial plateau fractures in physically active and working patients with multiple and serious injuries. In addition, the relationships between functional and radiological outcome were evaluated and compared with activity in daily and professional life.
  
  
  METHODS
  In all, 41 injured patients were followed up a mean of 47 months after surgical treatment and examined with radiological, functional, as well as quality of life score.
  
  
  RESULTS
  In the radiological scoring, a mean value of 72 points (max 100 points) was achieved. In the activity score, there was an average of 63.5 points (max 100 points). When evaluating the health-related quality of life, an average score of 69.6 points was achieved. There was a significant relationship between radiological and activity scores and the radiological and life quality scores. Furthermore, the relationship between activity and quality of life scores was considered significant. Surgeon's influence on the functional outcome could be confirmed.
  
  
  CONCLUSIONS
  The functional and the radiological results were moderate. Quality of life was permanently affected by the consequences of tibial plateau fracture in 12 patients; 11 patients were not re-employed. However, the quality of life was assessed as good or very good and 28 patients had returned to work. The quality of life was firmly linked to the radiological and functional parameters, which tended to be influenced by the quality of the primary surgical treatment when looking at the overall population.
authors.affiliation: Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Klinikum der Universität München (LMU), Campus Großhadern, Marchioninistr. 15, 81377, München, Deutschland. Bjoern_Peter.Rossbach@med.uni-muenchen.de.
authors.forename: B P
authors.initials: BP
authors.lastname: Roßbach
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinik Köln, Köln, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Faymonville
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinik Köln, Köln, Deutschland.
authors.forename: L P
authors.initials: LP
authors.lastname: Müller
authors.affiliation: Institut für Medizinische Statistik, Informatik und Epidemiologie, Universität zu Köln, Köln, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Stützer
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie - Klinikum Nordstadt, Klinikum Region Hannover, Hannover, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Isenberg
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D005260:Female; D017102:Fracture Healing; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology*; D062707:Return to Work / Q000523:psychology* / Q000706:statistics & numerical data; D012307:Risk Factors; D013978:Tibial Fractures / Q000453:epidemiology / Q000523:psychology* / Q000601:surgery*; D016896:Treatment Outcome; D000066477:Work Performance / Q000706:statistics & numerical data*
keywords: Activity level; Quality of life; Results, functional; Return to work; Treatment, operative