Evidence map›Paper›PMID 27008456›Full record

SynthesisInternational orthopaedics2016

Meta-analysis shows that highly comminuted bicondylar tibial plateau fractures treated by single lateral locking plate give similar outcomes as dual plate fixation.

Hengrui Chang, Yanbin Zhu, Zhanle Zheng, Wei Chen, Shue Zhao, Yiwen Zhang, Yingze Zhang

Abstract readComparative StudyMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Observational
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  7. [Research progress on biomechanics for internal fixation in tibial plateau fracture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  8. Review
  9. Article
  10. Do number and location of plates impact infection rates after definitive fixation of high energy tibial plateau fractures?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  11. Comparable outcomes with intramedullary nail and plate constructs for Schatzker VI tibial plateau fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  12. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Hengrui ChangDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
Yanbin ZhuDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
Zhanle ZhengDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
Wei ChenDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
Shue ZhaoDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
Yiwen ZhangDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China.
Yingze ZhangDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, China. dryzzhang@126.com.
Third Hospital of Hebei Medical University · CNHebei Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis meta-analysis was conducted to compare the clinical outcomes of single lateral locking plate (SP) versus dual plate fixation (DP) for the repair of bicondylar tibial plateau fractures (AO/OTA type C or Schatzker type V and VI).

methodsPubMed, Embase, Medline, CNKI, Wanfang database and Chinese VIP information were searched to identify the randomized and prospective comparative clinical studies which concern the treatment of bicondylar tibial plateau fractures (AO/OTA type C or Schatzker type V and VI) both with SP and DP fixation before October 1, 2015. STATA version 11.0 (Stata Corporation, College Station, TX, USA) was used for data-analysis after the critical assessment of the methodological quality of the trials.

resultsFinally, nine trials comprising 559 patients were included for this meta-analysis after the filtration. There were no significant differences between SP fixation and DP fixation with regards to outcomes for bone graft, post-operative malalignment and post-operative malreduciton in surgical details; infection, venous thrombosis, implant irritation and loss of reduction in complications; knee motion range in final outcomes. Lower surgical time, hospital stay, union time and incision necrosis were found in SP fixation compared with DP fixation. High rate of loss of alignment and more satisfaction with 12-month HSS score were associated with SP fixation than with DP fixation.

conclusionsBoth SP fixation and DP fixation are acceptable strategies for managing this type of fracture. However, more high quality RCTs with large number of patients and long-term clinical evaluations are required to determine the optimal strategy for bicondylar tibial plateau fractures.

Indexed as

Bone PlatesAdultBone TransplantationFemaleFracture Fixation, InternalFractures, ComminutedHumansMaleMiddle AgedProspective StudiesTibial FracturesBicondylar tibial plateauDual plateFixationFractureLocking plateMeta-analysisSingle

Identifiers

PMID27008456
OpenAlexW2303345927

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.