Evidence map›Paper›PMID 35867167›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Outcomes of arthroscopic-assisted lateral tibial plateau fixation: a systematic review.

Mai P Nguyen, Nicholas P Gannon, Thomas Z Paull, Caitlin Bakker, Sofia Bzovsky, Sheila Sprague, Marc F Swiontkowski

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mai P NguyenRegions Hospital, 640 Jackson Street, Saint Paul, MN, 55101, USA. maipnguyenmd@gmail.com.ORCID http://orcid.org/0000-0003-4138-2677
Nicholas P GannonUniversity of Minnesota, 2450 Riverside Ave, Suite R200, Minneapolis, MN, 55455, USA.
Thomas Z PaullRegions Hospital, 640 Jackson Street, Saint Paul, MN, 55101, USA.
Caitlin BakkerUniversity of Minnesota, 2450 Riverside Ave, Suite R200, Minneapolis, MN, 55455, USA.
Sofia BzovskyMcMaster University, 1280 Main St W, Hamilton, ON, L8S 4L8, Canada.
Sheila SpragueMcMaster University, 1280 Main St W, Hamilton, ON, L8S 4L8, Canada.
Marc F SwiontkowskiUniversity of Minnesota, 2450 Riverside Ave, Suite R200, Minneapolis, MN, 55455, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to evaluate and summarize the current literature on outcomes of arthroscopic-assisted tibial plateau fixation (AATPF) when applied for only lateral tibial plateau fractures.

methodsA comprehensive search of nine databases was conducted: ClinicalTrials.gov, Cochrane Library via Wiley, Embase and MEDLINE via Ovid, Global Index Medicus, PubMed, Scopus, SPORTDiscus via EBSCO, and Web of Science Core Collection. The study was performed in concordance with PRISMA guidelines. Studies eligible for inclusions included Schatzker I-III lateral tibial plateau fractures with a minimum of 6-month follow-up. Data extraction was performed by two authors independently using a predesigned form.

resultsA total of 17 studies, 7 prospective and 10 retrospective, including 565 patients (age 15-82 years old) treated with AATPF were included in this review with follow-up ranging from 6 to 138 months. All 10 studies that used categorical functional outcomes demonstrated excellent/very good or good outcomes in > 90% of patients. When compared to patients managed with the traditional open reduction internal fixation (ORIF), patients treated with AATPF had statistically significantly better range of motion mean difference [5.21° (95% CI - 2.50 to 12.92, p < 0.0001)], lower blood loss [66.19 mL (95% confidence interval (CI) 32.54-99.84 mL, p < 0.0001)], shorter hospital stay [- 1.41 days (95% CI - 3.39 to 0.58 days, p < 0.0001)], better Hospital Special Surgery score [11.31 (95% CI 6.49-16.12, p < 0.0001)], and higher Rasmussen radiographic score [1.26 (95% CI - 0.72 to 3.23, p < 0.0001)].

conclusionAATPF is a promising treatment of lateral tibial plateau fractures with some advantages over the traditional ORIF. LEVEL OF EVIDENCE: Therapeutic Level III.

Indexed as

ArthroscopyTibial FracturesAdolescentAdultAgedAged, 80 and overFracture Fixation, InternalHumansMiddle AgedProspective StudiesRetrospective StudiesTreatment OutcomeYoung AdultArthroscopic assistedArthroscopic-assisted tibial plateau fixationKnee arthroscopyTibial plateau

Identifiers

PMID35867167

What OpenQuestion holds

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Registered trials

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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.