title: High degree of patient satisfaction after percutaneous treatment of lateral tibia plateau fractures.
abstract: BACKGROUND
  The outcomes and complications following surgical treatment of tibial plateau fractures have been widely reported. The objective of this study was to evaluate the quality of life (QoL), functional and radiological outcomes after lateral tibial plateau fractures, Arbeitsgemeinschaft für Osteosynthesefragen (AO) type 41-B2 and B3, treated with minimally invasive bone tamp reduction, allograft and percutaneous screw fixation.
  
  
  METHODS
  This study was a cross-sectional study and a retrospective review and clinical evaluation of patients treated with minimally invasive bone tamp reduction, allograft and percutaneous screw fixation after lateral tibial plateau fractures between 2005 and 2010. The patients completed a clinical examination, Knee Injury and Osteoarthritis Outcome Score (KOOS) and a questionnaire for evaluation of QoL (Eq5D-5L).
  
  
  RESULTS
  A total of 28 patients agreed to participate (71%). The mean follow-up time was 2.5 years. Maintained anatomical joint reduction and alignment was achieved in 23 cases. The mean Eq5D-5L index was 0.850. The mean KOOS scores were: pain = 79.9, ADL = 80.8, symptoms = 73.0, QoL = 61.3 and sport = 54.4. Compared with Eq5D-5L reference norms, patients did not report significantly lower scores. Compared with a KOOS reference group, patients reported significantly lower KOOS scores in three subscales.
  
  
  CONCLUSIONS
  Tibial plateau fractures AO type 41-B2 and 41-B3 treated with minimally invasive bone tamp reduction, allograft and percutaneous screw fixation showed a high rate of anatomical reduction (82%), a low rate of complications (3.5%) and a high level of satisfactory patient-reported QoL.
  
  
  BACKGROUND
  none.
  
  
  BACKGROUND
  not relevant.
authors.affiliation: rae@rn.dk.
authors.forename: Rasmus
authors.initials: R
authors.lastname: Elsøe
authors.forename: Peter
authors.initials: P
authors.lastname: Larsen
authors.forename: Sten
authors.initials: S
authors.lastname: Rasmussen
authors.forename: Hans Ager
authors.initials: HA
authors.lastname: Hansen
authors.forename: Christian Berre
authors.initials: CB
authors.lastname: Eriksen
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003718:Denmark; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology; D011788:Quality of Life; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery