Evidence map›Paper›PMID 26733121›Full record

ReviewDer Orthopade2016

[Pearls and pitfalls for the treatment of tibial head fractures].

T M Kraus, T Freude, U Stöckle, F M Stuby

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Orthopade, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Association between articular surface depression and functional outcomes after ORIF of tibial plateau fractures: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  2. Lack of standardisation in the management of complex tibial plateau fractures: a multicentre experience.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  3. [Lateral open wedge tibial osteotomy for posttraumatic deformity].Operative Orthopadie und Traumatologie · 2024
    Article
  4. Article
  5. Article
  6. [Primary total knee arthroplasty following trauma].Unfallchirurgie (Heidelberg, Germany) · 2022
    Review
  7. Patients with complex proximal tibial fractures overestimate the prognosis of their injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  8. [What constitutes a good osteosynthesis?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

T M KrausBerufsgenossenschaftliche Unfallklinik, Klinik für Unfall- und Wiederherstellungschirurgie der Eberhard Karls Universität Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
T FreudeBerufsgenossenschaftliche Unfallklinik, Klinik für Unfall- und Wiederherstellungschirurgie der Eberhard Karls Universität Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
U StöckleBerufsgenossenschaftliche Unfallklinik, Klinik für Unfall- und Wiederherstellungschirurgie der Eberhard Karls Universität Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland. ustoeckle@bgu-tuebingen.de.
F M StubyBerufsgenossenschaftliche Unfallklinik, Klinik für Unfall- und Wiederherstellungschirurgie der Eberhard Karls Universität Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland. fstuby@bgu-tuebingen.de.
University of Tübingen · DEBG Klinik Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTibial plateau fractures requiring surgery are severe injuries of the lower extremity. Depending on the fracture pattern, the age of the patient, the range of activity and the bone quality there is a broad variation in adequate treatment. In the last decade we have had a tremendous development, might it be the angular stable anatomical plates as well as new approaches to the proximal tibia. Nevertheless in the recent literature there are still many complications reported. Not only for sports professionals, recreational athletes or heavy load workers tibial plateau fractures affect leisure, all day activity and professional life. This article reports the treatment algorithm showing different cases, outlines the pitfalls and explains treatment strategies with a detailed x-ray follow-up.

conclusionAfter a tibial plateau fracture patients are affected in their sporting activity due to an impaired knee function. Despite a long rehabilitation time and programs, physical activity changes to lower impact sports. Among the usual perioperative complications there are the specific complications of postoperative malalignment, implant infections, osteitis of the tibial head, compartment syndrome, secondary loss of reduction, avascular tibial head necrosis, secondary varus or valgus deformity, post-traumatic arthrosis and lesions of the peroneal nerve. In the literature in up to 43% of the cases complications have been noted. Despite surgery the majority of patients cannot return to their previous level of activity. However, overall about 70% of the patients return to sports after a tibial plateau fracture. For a beneficial outcome a detailed fracture analysis with CT scan and precise planning of the surgical strategies and approaches is mandatory.

Indexed as

Fracture Fixation, InternalHumansJoint DiseasesKnee InjuriesPostoperative ComplicationsRadiographyTibial FracturesFracture of the tibial headProximal tibia fractureTibial plateau fracture

Identifiers

PMID26733121
OpenAlexW2226500841

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.