SynthesisBMC musculoskeletal disorders2017
Infection following fractures of the proximal tibia - a systematic review of incidence and outcome.
Synthesis 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 34 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- Do superficial infections increase the risk of deep infections in tibial plateau and plafond fractures?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Trial
- Multifunctional TPU-HAp/HA-TiOInternational journal of pharmaceutics: X · 2026Article
- Comparing Tibial Osteotomy and Patellar Osteotomy to Pedicle Freezing in Proximal Tibial Malignant Bone Tumors: A Case Series Study.Journal of surgical oncology · 2026Article
- Biomechanical performance of proximal tibia fracture plates: A review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Review
- The requirement for total knee arthroplasty following surgical fixation of tibial plateau fractures.Bone & joint open · 2025Article
- Bicondylar tibial plateau fracture dislocations with an intact anterolateral cortical Rim: Prevalence, fracture characteristics, and complications.Journal of orthopaedics · 2025Article
- Incidence of Unapparent Preoperative Deep Vein Thrombosis in Patients with Traumatic Intraarticular Tibial Plateau Fracture.Journal of clinical medicine · 2025Article
- Fixation of tibial plateau fracture - risk factors for developing infection: a narrative review.EFORT open reviews · 2024Review
- The Orthoplastic Approach for the Management of Early Postoperative Infections of Tibial Plateau Fractures.Maedica · 2024Article
- Pathogens in FRI - Do bugs matter? - An analysis of FRI studies to assess your enemy.Journal of orthopaedics · 2024Article
- Does pes anserinus tenotomy affect surgical site infection rate in operative tibial plateau fractures?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- External fixator pin placement during initial management of tibial plateau fractures: are there parameters to minimize pin-plate overlap?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- High-energy open-fracture model with initial experience of fluorescence-guided bone perfusion assessment.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023Article
- Using multiple indicators to predict the risk of surgical site infection after ORIF of tibia fractures: a machine learning based study.Frontiers in cellular and infection microbiology · 2023Article
- Antibiotic artificial bone implantation for the treatment of infection after internal fixation of tibial plateau fractures.BMC musculoskeletal disorders · 2022Article
- Post-operative complications of tibial plateau fractures treated with screws or hybrid external fixation.Musculoskeletal surgery · 2022Article
- Two-level fixation with headless compression screws for tibial plateau fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Insight in Superiority of the Hydrophobized Gentamycin in Terms of Antibiotics Delivery to Bone Tissue.International journal of molecular sciences · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo systematically review all available studies of operatively treated proximal tibia fractures and to report the incidence of superficial or deep infection and subsequent outcomes.
methodsA systematic review of the literature in Medline, Cochrane, Embase and GoogleScholar was conducted to identify studies with cohorts of patients with infection after surgical treatment of proximal tibia fractures. Studies were included according to predefined inclusion and exclusion criteria. The studies were analysed for methodological deficiencies and quality of outcome reporting based on the Level of Evidence (LOE) and Coleman Methodology Scoring (CMS.)
resultsIn total 32 studies were included. There was heterogeneity between the studies, in terms of subject of the studies, outcome criteria, fracture type and classification, surgical techniques and length of follow-up. Therefore, no meta-analysis could be performed. The average CMS was 54.2 (range 36-75). The included studies were 25 case series (LOE IV), 6 were prospective cohort studies (LOE III) and one was a prospective randomized trial (LOE I). 203 (12.3%, range: 2.6-45.0%) infections occurred in the overall population (n = 2063). Those were divided into 129 deep infections and 74 superficial infections. Revision due to infection was reported in 29 studies, microbiological results in 6, respectively. 72 (55,8%) of 129 cases reporting outcome after deep infection had an unsatisfactory outcome with substantial limitations of the affected joint and leg.
conclusionsPostoperative infections are a challenge, sometimes requiring several revisions and often with a worse outcome. Further studies with structured study protocols should be performed for a better understanding of risk factors to improve treatment outcomes.
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