ArticleJournal of orthopaedic surgery and research2021
Anatomical basis of the support of fibula to tibial plateau and its clinical significance.
Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Evolving Strategies for Knee Osteoarthritis: A Narrative Review of Integrated Rehabilitation, Pharmacologic, and Joint-Preserving Interventions.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Polyester Sheet Plastination: Technical Foundations, Methodological Advances, Anatomical Applications, and AQUA-Based Quality Analysis.Polymers · 2025Review
- Reconstruction of the Tibial Stump After Fibulectomy.Orthopedic research and reviews · 2025Article
- Bone Bridge Transtibial Amputation by an Innovative Technique.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Preserving Trabecular Bone Structure in Gross Specimens with Paraffin Wax for the Study of Osteoporosis.Journal of plastination · 2024Article
- Proximal tibial osteotomy with absorbable spacer combined with fibular osteotomy has similar clinical outcomes to high tibial osteotomy in the treatment of knee osteoarthritis.International orthopaedics · 2023Article
- Effect of Schatzker type VI tibial plateau fractures combined with a proximal fibular and/or posterolateral joint facet fracture on early postoperative functional recovery.Journal of orthopaedic surgery and research · 2023Article
- Classification of Bone Bruises in Pediatric Patients With Anterior Cruciate Ligament Injuries.Orthopaedic journal of sports medicine · 2023Article
- Article
- Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method.Biomedical engineering online · 2022Article
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThe fibula is only indirectly involved in the composition of the human knee joint and has therefore been neglected in the research on knee osteoarthritis. Nonuniform settlement of the proximal tibia plateau is clinically defined as when the height of the medial tibial plateau is lower than that of the lateral side in medial compartment knee osteoarthritis (KOA). The non-uniform settlement of the proximal tibia plateau may be caused by fibular support on the lateral side. Orthopedic surgeons practice partial fibulectomy based on the clinical manifestation of nonuniform settlement, and this technique has been shown to reduce pain and improve function in patients with medial compartment KOA. However, this hypothesis of the mechanism of nonuniform settlement lacks an anatomical basis.
methodsThe P45 polyester plastination technique was used to prepare sections of the proximal tibiofibular joint to investigate the distribution of the bone trabeculae in the region of the lateral tibial plateau.
resultsThere was uneven distribution of trabeculae in the lateral condyle of the tibia and the head and neck of the fibula. The fibula and the posterolateral cortex of the shaft of the tibia united to form an arch beam via the tibiofibular joint. Many thick, dense trabeculae were present in a longitudinal direction above the tibiofibular arch.
conclusionsThe fibula supports the lateral tibial plateau, and the trabeculae were concentrated above the tibiofibular arch.
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