![]() ![]() Ninety (97.8%) and 89 (96.7%) patients had good or excellent results in the Rasmussen radiologic assessment and Rasmussen clinical assessment, respectively. Superficial or deep infection was noted in 4 cases (4.3%), and total knee arthroplasty (TKA) was performed in 2 cases (2.2%) due to grade 4 osteoarthritis (OA). A statistically significant increase in PSA was also noted in the C3 group ( p = 0.044). TPA was maintained well on average at the last follow-up and showed no significant difference compared to postoperatively ( p = 0.208). Using AO classification, there were 20 type C1 fractures, 21 type C2 fractures, and 51 type C3 fractures. Ninety-two consecutive patients (mean age: 46.9 years) with a mean follow-up of 74.8 months (24–180) were included in our series. The prognosis and complications were assessed by the Rasmussen clinical assessment with a minimum follow-up of 2 years. Radiologic outcomes, including tibial plateau angle (TPA), posterior slope angle (PSA), Kellgren–Lawrence classification and Rasmussen radiologic assessment, were measured and evaluated. This retrospective study reviewed complex tibial plateau fractures that underwent ARIF from 1999 to 2019. ![]() Progression will be based on individual patient presentation, which is assessed throughout the treatment process.To investigate the radiologic and prognostic outcomes after using arthroscopic-assisted reduction and internal fixation (ARIF) in complex tibial plateau fractures with mid- to long-term follow-up. NOTE: All progressions are approximations and should be used as a guideline only. Initiate return to sport/activity- specific training.Continue to push strength, endurance per tolerance.Patients should be pursuing a home program with emphasis on sport/activity-specific training.Add lateral training exercises (side-stepping, Theraband resisted side-stepping).add stretch cord for resistance, increase weight with weightlifting machines) Increase the intensity of functional exercises (i.e.Gait full weightbearing, focus mechanics.Continue soft tissue treatment as needed, patellar glides work towards full knee range of motion.Slow to rapid walking on treadmill (preferably a low-impact treadmill).Incorporate functional closed-chain exercises.visit at 4 weeks post-op, will progress to full weightbearing weaning down to 1 crutch, cane, or no assistive device. Continue with pain control, range of motion, soft tissue treatments.unilateral cycling, UBE, Schwinn Air-Dyne arms only). Nonweightbearing aerobic exercises (i.e.visit at 8 - 10 days for suture removal (if any) and check-up. Range of motion 0-50 degrees or per MD.Knee extension range of motion should be full.Soft tissue treatments and gentle mobilization to posterior musculature and patella.Hip and foot/ankle exercises, well-leg stationary cycling, upper body conditioning.Straight leg raise exercises (lying, seated, and standing), quadriceps/straight ahead plane only.CPM at home for 6 hours daily/at night.Icing and elevation frequently per instruction.visit day 1 post-op to change dressing and review home program. *Use the CPM set at 0 to 50 degrees for 6 hours a day for 4 weeks. *Use the bone stimulator once per day (preferably at same time each day) for 30 minutes for 3 months. No resisted leg extension machines (isotonic or isokinetic) at any point.Early recruitment of the vastus medialis muscle is important.Regular manual treatment should be conducted to the patella and all incisions-with particular attention to the anterior medial portal-to decrease the incidence of fibrosis.Seek full hyperextension equal to opposite side.Patients will be in a hinged brace for support and to serve as a reminder not to weight-bear.Non-weightbearing status for 4 weeks post-op.Ankle and foot rehabilitation protocols.Physical Therapy and Rehabilitation Videos.Robotic Joint Center | Partial & Total Knee Replacement. ![]()
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