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This 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.A 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.In Schatzker type II cases, there was an indirect 48.4% statistically significant relation (p0.01) between Rasmussen Clinical scores and age.In 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.

BACKGROUND This 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. METHODS A 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. RESULTS In Schatzker type II cases, there was an indirect 48.4% statistically significant relation (p

Objective: The aim of this study was to evaluate the effect of BMI on clinical and radiological outcomes of pilon fractures. We hypothesized that obese patients, defined as having a BMI of 30 or higher, would not have worse functional and radiological outcome compared to non-obese patients.Methods: This study retrospectively reviewed 42 patients (33 males and 9 females; mean age: 42.67±12.29 years, range: 18 to 67 years) who sustained tibial pilon fractures between January 2008 and May 2011. Each patient’s postoperative course, including the incidence of postoperative complications, and the length of hospital stay was determined from medical charts. At the final follow-up, clinical assessment was made according to the AOFAS score and radiological evaluation was made according to the Kellgren-Lawrence classification.Results: Twenty-nine patients had low-energy trauma, while 13 had high-energy trauma. Mean BMI was 28.96±4.86 kg/m2. There were 18 obese patients and 24 non-obese patients. Mean AOFAS score at the final follow-up was 68.36±20.71. The average follow-up time was 30.0±11.48 months. Superficial infection in the obese group occurred at a statistically significantly higher rate (p, Amaç: Bu çalışmada amacımız, Vücut Kitle İndeksi’nin (VKİ) pilon kırıklarında klinik ve radyolojik sonuçlara etkisini değerlendirmekti. Bu değerlendirmemizde, VKİ≥30 olarak tanımlanan obez hastaların fonksiyonel ve radyolojik sonuçlarının obez olmayan hastalara göre daha kötü olmayacağını varsaydık.Çalışma planı: Çalışmaya, Ocak 2008-Mayıs 2011 tarihleri arasında tibia pilon kırığı geçirmiş olan 42 hastanın (33 erkek, 9 kadın; ortalama yaş: 42.67±12.29, dağılım: 18-67), retrospektif olarak incelenen sonuçları dahil edildi. Her hastanın postoperatif komplikasyon insidansı dahil olmak üzere postoperatif seyri ve hastanede kalış süresi tıbbi kayıtlardan belirlendi. Son kontrollerde klinik değerlendirme AOFAS skoruna, radyolojik değerlendirme ise Kellgren-Lawrence sınıflamasına göre yapıldı.Bulgular: Yirmi dokuz hasta düşük enerjili travmaya, 13 hasta yüksek enerjili travmaya maruz kalmıştı. Ortalama VKİ 28.96±4.86 kg/m2 olarak bulundu. Obez hasta sayısı 18, obez olmayan hasta sayısı 24’tü. Son kontrolde ortalama AOFAS skoru 36±20.71 olarak kaydedilirken, hastaların ortalama takip süresi 30.0±11.48 ay idi. Obez grupta yüzeysel enfeksiyon oranı istatistiksel olarak anlamlı derecede yüksek bulundu (p