SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome? A systematic review of 1074 patients.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 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
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Functional outcome of 2-D- and 3-D-guided corrective forearm osteotomies: a systematic review.The Journal of hand surgery, European volume · 2024Pooled it
- Does using 3D printed models for pre-operative planning improve surgical outcomes of foot and ankle fracture fixation? A systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Efficacy of 3D-printed bone graft container in the treatment of tibial plateau fractures and postoperative rehabilitation prediction model.BMC surgery · 2026Article
- Mixed reality improves agreement on surgical approach selection and patient positioning in tibial plateau fracture planning compared to CT, 3DCT and 3D printing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Biomechanical Stability of Tibia Plateau Fracture Treatment: Conventional vs. Finite Element-Based Preoperative Planning.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Evaluation of posterolateral tibial plateau fracture treatment using a modified anterolateral bimuscular approach: a technical note and retrospective study.BMC surgery · 2026Article
- Can FEM-based preoperative planning for complex tibial plateau fractures improve surgical skills? A cadaver study.Journal of orthopaedic surgery and research · 2026Article
- Mixed reality enhances interobserver reliability in tibial plateau fracture classification compared to computed tomography, 3D computed tomography and 3D printing.Journal of experimental orthopaedics · 2025Article
- Utilising a Novel Virtual Reality System for Orthopaedic Pre-operative Trauma Planning.Cureus · 2025Article
- 3D printing improves preoperative decision making for patient positioning and surgical approach selection for tibial plateau fractures.Scientific reports · 2025Article
- Three-dimensional printed anatomical models as an educational tool for orthopaedic surgical trainees - A single institution experience.Journal of clinical orthopaedics and trauma · 2025Article
- Development of a virtual surgical plan for reverse shoulder arthroplasty as a treatment for complex proximal humerus fracture in an elderly patient.JSES reviews, reports, and techniques · 2025Article
- Evaluating the outcomes of three dimensional printing-assisted osteotomy on treating varus knee deformity from old tibial plateau fractures.International orthopaedics · 2025Article
- Postoperative accuracy quantification of corrective osteotomies: standardisation of Q3D-CT methodology.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Article
- Orthopedic Trainees' Perception of the Educational Utility of Patient-Specific 3D-Printed Anatomical Models: A Questionnaire-Based Observational Study.Advances in medical education and practice · 2025Article
- Symmetry of the left and right tibial plafond; a comparison of 75 distal tibia pairs.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- 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 · 2024Article
- The Novel Impact of Augmented Reality and 3D Printing in the Diagnosis of Complex Acetabular Fractures: A Comparative Randomized Study in Orthopedic Residents.Journal of clinical medicine · 2024Article
- Advances of 3D printing technologies in orthopaedic trauma and surgical training: a transformative approach.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this systematic review was to provide an overview of current applications of 3D technologies in surgical management of tibial plateau fractures and to assess whether 3D-assisted surgery results in improved clinical outcome as compared to surgery based on conventional imaging modalities.
methodsA literature search was performed in Pubmed and Embase for articles reporting on the use of 3D techniques in operative management of tibial plateau fractures. This systematic review was performed in concordance with the PRISMA-guidelines. Methodological quality and risk of bias was assessed according to the guidelines of the McMaster Critical Appraisal. Differences in terms of operation time, blood loss, fluoroscopy frequency, intra-operative revision rates and patient-reported outcomes between 3D-assisted and conventional surgery were assessed. Data were pooled using the inverse variance weighting method in RevMan.
resultsTwenty articles evaluating 948 patients treated with 3D-assisted surgery and 126 patients with conventional surgery were included. Five different concepts of 3D-assisted surgery were identified: '3D virtual visualization', '3D printed hand-held fracture models', 'Pre-contouring of osteosynthesis plates', '3D printed surgical guides', and 'Intra-operative 3D imaging'. 3D-assisted surgery resulted in reduced operation time (104.7 vs. 126.4 min; P < 0.01), less blood loss (241 ml vs. 306 ml; P < 0.01), decreased frequency of fluoroscopy (5.8 vs. 9.1 times; P < 0.01). No differences in functional outcome was found (Hospital for Special Surgery Knee-Rating Scale: 88.6 vs. 82.8; P = 0.23).
conclusionsFive concepts of 3D-assisted surgical management of tibial plateau fractures emerged over the last decade. These include 3D virtual fracture visualization, 3D-printed hand-held fracture models for surgical planning, 3D-printed models for pre-contouring of osteosynthesis plates, 3D-printed surgical guides, and intra-operative 3D imaging. 3D-assisted surgery may have a positive effect on operation time, blood loss, and fluoroscopy frequency.
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Registered trials
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.