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Intra-articular fractures predispose patients to posttraumatic osteoarthritis (PTOA) with associated chronic joint pain and decreased function. The success of articular fracture management is dependent on how the fracture is treated and on fracture type and severity. The purpose of the present study was to correlate objective computed tomography (CT)-based indices of intra-articular fracture severity with subsequent joint degeneration. It was hypothesized that an injury severity metric that included objective measures of articular disruption, of fracture energy, and of fragment displacement/dispersal would be a useful predictor of PTOA.

Objective CT-Based Metrics of Articular Fracture Severity to Assess Risk for Posttraumatic Osteoarthritis