Exel data set for tibial plateau fracture study.

BackgroundTibial plateau fractures, accounting for approximately 1% of adult fractures, are often associated with significant long-term complications such as pain, stiffness, and posttraumatic arthrosis. The optimal treatment approach remains controversial, particularly in resource-limited settings. This study investigated the factors influencing the clinical outcomes of patients with tibial plateau fractures in Ethiopia.ObjectiveTibial plateau fractures, though common in trauma cases, have been poorly studied in sub-Saharan Africa, particularly in Ethiopia. The primary purpose of this study was to examine the factors influencing the clinical outcomes of patients with tibial plateau fractures and to assess the efficacy of conservative treatment versus surgical intervention. This research aims to provide insights into managing tibial plateau fractures in resource-limited settings, with the hope of contributing to improved clinical practices.MethodsA total of 191 patients with tibial plateau fractures were recruited from Tibebe Ghion Referral Hospital and Felegehiwot Specialized Hospital between February 1, 2018, and February 2022. Demographic, clinical, and radiological data were analyzed, and treatment outcomes were assessed via Rasmussen’s knee functional outcome score. A correlation analysis was performed to identify factors impacting functional outcomes. Logistic regression was used to identify factors influencing clinical outcomes.ResultsThe study population was predominantly male (73.8%), with a mean age of 45 years. Road traffic accidents (41.9%) were the most common cause of injury. Schatzker type I fractures (27.2%) were the most common, and compound fractures accounted for 21% of the fractures. The average time to definitive management was 1.59 weeks, with 35% of patients undergoing open reduction and internal fixation (ORIF). The duration of immobilization and weight-bearing significantly influenced functional outcomes. Patients who were immobilized for less than 4 weeks had better outcomes, with functional scores 54 times better than those of patients who were immobilized for more than 8 weeks (p ConclusionThis study highlights the importance of early mobilization and optimal management of tibial plateau fractures for improving functional outcomes. Timely treatment, especially regarding immobilization and weight-bearing, is crucial for achieving better results. These findings emphasize the need for more standardized treatment protocols and further research on tibial plateau fractures in sub-Saharan Africa to increase patient care in resource-limited settings.背景：胫骨平台骨折（tibial plateau fractures）约占成人骨折的1%，常伴随疼痛、关节僵硬、创伤后关节炎等严重远期并发症。其最佳治疗方案仍存在争议，在资源有限的医疗环境中这一问题尤为突出。本研究旨在探讨埃塞俄比亚胫骨平台骨折患者临床预后的影响因素。 研究目的：尽管胫骨平台骨折在创伤病例中较为常见，但在撒哈拉以南非洲地区，相关研究却较为匮乏，埃塞俄比亚尤为如此。本研究的主要目的是分析胫骨平台骨折患者临床预后的影响因素，并评估保守治疗与手术干预的疗效差异。本研究旨在为资源有限环境下的胫骨平台骨折诊疗提供参考，以期助力临床实践水平的提升。 研究方法：本研究于2018年2月1日至2022年2月期间，从提贝贝吉翁转诊医院（Tibebe Ghion Referral Hospital）和费莱格希沃特专科医院（Felegehiwot Specialized Hospital）招募了191例胫骨平台骨折患者。收集并分析患者的人口统计学资料、临床资料及影像学资料，采用拉斯穆森膝关节功能评分（Rasmussen’s knee functional outcome score）评估治疗效果。通过相关性分析明确影响功能预后的因素，采用logistic回归分析确定影响临床预后的相关因素。 研究结果：本研究纳入的患者以男性为主（73.8%），平均年龄为45岁。道路交通事故（41.9%）是最常见的受伤原因。最常见的骨折类型为Schatzker I型骨折（27.2%），开放性骨折占总骨折数的21%。患者接受确定性治疗的平均间隔时间为1.59周，其中35%的患者接受了切开复位内固定术（open reduction and internal fixation, ORIF）。制动时长与负重情况对功能预后具有显著影响：制动时长少于4周的患者预后更佳，其功能评分较制动时长超过8周的患者高出54倍（p 结论：本研究强调了早期活动与优化胫骨平台骨折管理对改善功能预后的重要性。及时治疗，尤其是在制动与负重方面的规范处理，是获得更佳治疗效果的关键。本研究结果提示，撒哈拉以南非洲地区亟需更标准化的胫骨平台骨折治疗方案，并需开展更多相关研究，以提升资源有限环境下的患者护理水平。