SynthesisPloS one2020
Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis.
Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses 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
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Incidence of venous thromboembolism in fracture below the knee with and without chemical thromboprophylaxis: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Surgical fixation methods for tibial plateau fractures.The Cochrane database of systematic reviews · 2024Pooled it
- Ilizarov external fixation versus open reduction and internal fixation for complex tibial plateau fractures: a prospective randomised comparative study.International orthopaedics · 2026Trial
- Intramedullary nail fixation for tibial plateau fractures: a systematic review of techniques and outcomes.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Role of Hybrid Fixator in Proximal Tibial Fractures: A Prospective Evaluation of Clinical and Radiological Outcomes.Cureus · 2026Article
- Comparative effectiveness of arthroscopic-assisted versus open reduction and internal fixation in the treatment of tibial plateau fractures: a retrospective study.European journal of medical research · 2026Article
- Residual radiographic fracture displacement in healed tibial plateau fractures: comparison after treatment with suprapatellar nailing versus lateral plating.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Lisfranc Sports Injuries: What Do We Know So Far?Cureus · 2023Review
- Post-operative complications of tibial plateau fractures treated with screws or hybrid external fixation.Musculoskeletal surgery · 2022Article
- Clinico - Radiological Results of Tibial Bicondylar Fractures Managed with Ilizarov Technique with or without Minimal Internal Fixation.Malaysian orthopaedic journal · 2022Article
- Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection-The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report.Medicina (Kaunas, Lithuania) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Peer-reviewed published studies on tibial plateau fractures treated with either open reduction with internal fixation (ORIF) or circular external fixation were reviewed to compare functional, radiological outcomes, postoperative complications, and reoperation rates between the two methods. A systematic search of various databases including Medline, Cochrane Controlled Register of Trials (CENTRAL), ScienceDirect, and Google Scholar from inception until June 2019 was performed. 17 studies with 1168 participants were included in the review. Most of the studies (76%) were retrospective in nature and had low or unclear bias risks. Incidence of total infection (Odds ratio [OR], 2.58; 95% CI, 1.33-5.02) and malunions (OR, 2.56; 95% CI, 1.12-5.84) were higher and length of hospital stay was shorter in patients treated with circular external fixator (Mean difference [MD], -6.1; 95% CI, -11.1--1.19). There were no differences in the incidence of secondary osteoarthritis (OR, 1.49; 95% CI, 0.92-2.42), range of motion (MD, 2.28; 95% CI, -11.27-15.82) non-union (OR, 1.44; 95% CI, 0.14-14.27) and reoperation rates (OR, 1.84; 95% CI, 0.90-3.78) between the two groups. Results from this investigation suggest that circular fixation may offer some advantages over ORIF such as a shortened length of hospital stay and early return to preinjury activities. Definitive clinical recommendations cannot be made as it also presents higher rates of postoperative complications than ORIF.
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Registered trials
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