SynthesisArchives of orthopaedic and trauma surgery2022
Primary total knee replacement for tibial plateau fractures in older patients: a systematic review of 197 patients.
Synthesis in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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Who cites it
13 citing papers in PubMed, 15 citations in OpenAlex.
- [Primary total knee arthroplasty in geriatric patients with tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- [Osteosynthesis for tibial plateau fractures in geriatric patients].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Total knee arthroplasty with metaphyseal sleeves for acute tibial plateau fractures.Bone & joint open · 2026Article
- Epidemiology and outcomes of tibial plateau fractures involving the medial plateau : a comparative analysis of AO type B and C injuries.Bone & joint open · 2026Article
- Long-term patient-reported knee-related outcomes and quality of life of patients with tibial plateau fractures: A mixed-methods study.PloS one · 2026Article
- Traumaplasty in Action: Staggered Bilateral Primary Total Knee Arthroplasty for Complex Proximal Tibial Fractures with Osteoarthritis - A Case Report.Journal of orthopaedic case reports · 2025Article
- Total Knee Replacement Versus Osteosynthesis as Primary Treatment in Older Patients with Tibial Plateau Fracture.Journal of orthopaedic case reports · 2025Article
- International, consensus-based, indications and treatment options for knee arthroplasty in acute fractures around the knee.Archives of orthopaedic and trauma surgery · 2025Review
- The Role of Immediate Arthroplasty in Elderly Tibial Plateau Fractures.Orthopedic reviews · 2025Article
- Article
- Complications and secondary operations after non-operative and operative treatment of tibial plateau fractures: a population-based study of 562 patients with mean follow-up of 7 years.Archives of orthopaedic and trauma surgery · 2024Article
- Outcomes of total hip and knee arthroplasty in special populations: a synopsis and critical appraisal of systematic reviews.Arthroplasty (London, England) · 2023Article
- Current concepts review. Management of proximal tibial fractures.Frontiers in surgery · 2023Review
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTibial plateau fractures are typically treated with osteosynthesis. In older patients, osteosynthesis is associated with some complications, risk of post-traumatic osteoarthritis and long partial, or non-weight bearing during the recovery phase. To avoid these problems, primary total knee replacement (TKR) has become an increasingly common treatment option. The aim of this study was to evaluate all the relevant literature and summarize the current evidence-based knowledge on the treatment of tibial plateau fractures with primary TKR in older patients. MATERIALS AND
methodsA systematic literature search of studies on total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture was conducted using OVID Medline, Scopus, and Cochrane databases from 1946 to 18 November 2019. We included all studies without restrictions regarding total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture.
resultsOf the 640 reviewed articles, 16 studies with a total of 197 patients met the inclusion criteria. No controlled trials were available, and the overall quality of the literature was low. The results, using different clinical scoring systems, were good or fair. Four-year follow-up complication (6.1%) and revision (3.6%) rates after primary TKR appeared to be lower than after secondary TKR (complication rate 20-48%, revision rate 8-20%) but higher than after elective primary TKR.
conclusionBased on low-quality evidence, TKR appears to be a useful treatment option for tibial plateau fractures in older patients. Controlled trials are mandatory to determine the relative superiority of these two options as primary treatment of tibial plateau fractures in older patients.
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