Evidence map›Paper›PMID 32728424›Full record

ArticleBone & joint research2020

3D mapping and classification of tibial plateau fractures.

Xiang Yao, Kaihua Zhou, Bin Lv, Lei Wang, Jun Xie, Xingli Fu, Jishan Yuan, Yingqi Zhang

Abstract read
In one paragraph

Article in Bone & joint research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

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32citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Trial
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  6. Observational
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  11. Fracture Mapping in High-Energy Chest Trauma.Journal of clinical medicine · 2024
    Article
  12. Article
  13. Tibial plateau fracture morphology based on injury force mechanism is predictive for patient-reported outcome and conversion to total knee arthroplasty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  14. Article
  15. Review
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  17. 3D mapping: has the mystery of proximal tibia fractures been solved?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  18. Article
  19. Article
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiang YaoDepartment of Orthopaedics, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Kaihua ZhouDepartment of Orthopaedics, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai, China.
Bin LvDepartment of Orthopaedics, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Lei WangDepartment of Orthopaedics, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Jun XieDepartment of Orthopaedics, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Xingli FuJiangsu University Health Science Center, Zhenjiang, China.
Jishan YuanDepartment of Orthopaedics, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, China.
Yingqi ZhangDepartment of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTibial plateau fractures (TPFs) are complex injuries around the knee caused by high- or low-energy trauma. In the present study, we aimed to define the distribution and frequency of TPF lines using a 3D mapping technique and analyze the rationalization of divisions employed by frequently used classifications.

methodsIn total, 759 adult patients with 766 affected knees were retrospectively reviewed. The TPF fragments on CT were multiplanar reconstructed, and virtually reduced to match a 3D model of the proximal tibia. 3D heat mapping was subsequently created by graphically superimposing all fracture lines onto a tibia template.

resultsThe cohort included 405 (53.4%) cases with left knee injuries, 347 (45.7%) cases with right knee injuries, and seven (0.9%) cases with bilateral injuries. On mapping, the hot zones of the fracture lines were mainly concentrated around the anterior cruciate ligament insertion, posterior cruciate ligament insertion, and the inner part of the lateral condyle that extended to the junctional zone between Gerdy's tubercle and the tibial tubercle. Moreover, the cold zones were scattered in the posteromedial fragment, superior tibiofibular syndesmosis, Gerdy's tubercle, and tibial tubercle. TPFs with different Orthopaedic Trauma Association/AO Foundation (OTA/AO) subtypes showed peculiar characteristics.

conclusionTPFs occurred more frequently in the lateral and intermedial column than in the medial column. Fracture lines of tibial plateau occur frequently in the transition zone with marked changes in cortical thickness. According to 3D mapping, the four-column and nine-segment classification had a high degree of matching as compared to the frequently used classifications.Cite this article:

Indexed as

3D mappingFracture classificationTibial plateau fracture

Identifiers

PMID32728424
PMCPMC7376308

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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.