ArticleBMC musculoskeletal disorders2017
Clinical and radiographic predictors of acute compartment syndrome in the treatment of tibial plateau fractures: a retrospective cohort study.
Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Acute compartment syndrome in tibial fractures: a meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- The efficacy of arthroscopy-assisted versus stand-alone open reduction and internal fixation for treating tibial plateau fracture: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Predictors of acute compartment syndrome in patients with tibial fractures: a meta-analysis.International orthopaedics · 2023Pooled it
- The AI implementation gap in trauma radiography: standalone versus discretionary AI-integrated fracture detection.European radiology experimental · 2026Article
- Late reconstruction of missed compartment syndrome after tibial plateau fixation surgery: A case report with 6 years of follow-up.Orthopedic reviews · 2026Article
- [Tibial plateau fractures : Tips and tricks].Orthopadie (Heidelberg, Germany) · 2025Review
- Article
- Development and validation of a nomogram for predicting fasciotomy requirement in lower extremity arterial injuries: a retrospective case-control study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Staged Fixation with Respect to Soft Tissue in Tibial Plateau Fractures with Acute Compartment Syndrome: Correlation Analysis of Complications.Clinics in orthopedic surgery · 2024Article
- Identifying key risk factors for acute compartment syndrome in tibial diaphysis fracture patients.Scientific reports · 2024Article
- High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre.JNMA; journal of the Nepal Medical Association · 2024Article
- Clinical and radiological risk factors associated with the occurrence of acute compartment syndrome in tibial fractures: a systematic review of the literature.EFORT open reviews · 2023Article
- Comparison of Arthroscopic-Assisted Percutaneous Internal Fixation With a Modified Reducer Versus Open Reduction and Internal Fixation for Schatzker Type II and III Tibial Plateau Fractures.Orthopaedic journal of sports medicine · 2023Article
- Predictors of acute compartment syndrome of the lower leg in adults following tibial plateau fractures.Journal of orthopaedic surgery and research · 2021Article
- Factors Associated with Development of Traumatic Acute Compartment Syndrome: A Systematic Review and Meta-analysis.The archives of bone and joint surgery · 2021Review
- Lateral tibial plateau fractures-functional outcomes and complications after open reduction and internal fixation.International orthopaedics · 2021Article
- Arthroscopically assisted evaluation of frequency and patterns of meniscal tears in operative tibial plateau fractures: a retrospective study.Journal of orthopaedic surgery and research · 2021Article
- Clinical and radiographic predictors of acute compartment syndrome in the treatment of tibial shaft fractures: a retrospective cohort study.BMC musculoskeletal disorders · 2020Article
- Immediate arthroscopy following ORIF for tibial plateau fractures provide early diagnosis and treatment of the combined intra-articular pathologies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- The impacts of internal versus external fixation for tibial fractures with simultaneous acute compartment syndrome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study was to evaluate the relation between demographic, injury-related, clinical and radiological factors of patients with tibial plateau fractures and the development of acute compartment syndrome.
methodsAll consecutive adult patients with intra-articular tibial plateau fractures admitted in our urban academic medical centre between January 2005 and December 2009 were included in this retrospective cohort study. The main outcome measurement was the development of acute compartment syndrome.
resultsThe charts of 265 patients (mean age 48.6 years) sustaining 269 intra-articular tibial plateau fractures were retrospectively reviewed. Acute compartment syndrome occurred in 28 fractures (10.4%). Four patients presented bilateral tibial plateau fractures; of them, 2 had unilateral, but none had bilateral acute compartment syndrome. Non-contiguous tibia fracture or knee dislocation and higher AO/OTA classification (type 41-C) were statistically significantly associated with the development of acute compartment syndrome in multivariable regression analysis, while younger age (<45 years), male sex, higher Schatzker grade (IV-V-VI), higher tibial widening ratio (≥1.05) and higher femoral displacement ratio (≥0.08) were significantly associated in the analysis adjusted for age and sex.
conclusionsTwo parameters related to the occurrence of ACS in tibial plateau fractures were highlighted in this study: the presence of a non-contiguous tibia fracture or knee dislocation, and higher AO/OTA classification. They may be especially useful when clinical findings are difficult to assess (doubtful clinical signs, obtunded, sedated or intubated patients), and should rise the suspicion level of the treating surgeon. In these cases, regular clinical examinations and/or intra-compartmental pressure measurements should be performed before and after surgery, even if acute compartment syndrome seemed unlikely during initial assessment. However, larger studies are mandatory to confirm and refine both factors in predicting the occurrence of acute compartment syndrome.
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