Evidence map›Paper›PMID 35924649›Full record

ReviewEFORT open reviews2022

Complications of the surgical treatment of fractures of the tibial plateau: prevalence, causes, and management.

Elena Gálvez-Sirvent, Aitor Ibarzábal-Gil, E Carlos Rodríguez-Merchán

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in EFORT open reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07204119 (Official Title), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% of its field
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.

NCT07204119 narecruitingnot on this mapstarted 2025, after this paper: background citation

Official Title: Comparison of Graston Technique With Tissue Flossing Technique in Patient With Post-Operative Knee Stiffness

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled48ConditionsPost-operative Knee StiffnessArmsTissue Flossing Technique, Graston Technique, Control group
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Factors influencing patient-reported outcomes in operatively managed tibial plateau fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  6. Article
  7. Article
  8. Article
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  12. Effect of complications and reoperations on PROMIS scores for tibial plateau fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  13. Outcomes of autologous bone graftsWorld journal of orthopedics · 2025
    Article
  14. Article
  15. Article
  16. Article
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  18. [Application of intermediate screw assisted reduction and fixation technique in treatment of Schatzker typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  19. Article
  20. 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

3 authors at 2 institutions in 1 country.

Elena Gálvez-SirventDepartment of Orthopaedic Surgery, "Infanta Elena" University Hospital, Valdemoro, Madrid, Spain.
Aitor Ibarzábal-GilDepartment of Orthopaedic Surgery, "La Paz" University Hospital, Madrid, Spain.
E Carlos Rodríguez-MerchánDepartment of Orthopaedic Surgery, "La Paz" University Hospital, Madrid, Spain.ORCID 0000-0002-6360-0113
Hospital Universitario La Paz · ESUniversidad Francisco de Vitoria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Open reduction and internal fixation is the gold standard treatment for tibial plateau fractures. However, the procedure is not free of complications such as knee stiffness, acute infection, chronic infection (osteomyelitis), malunion, non-union, and post-traumatic osteoarthritis. The treatment options for knee stiffness are mobilisation under anaesthesia (MUA) when the duration is less than 3 months, arthroscopic release when the duration is between 3 and 6 months, and open release for refractory cases or cases lasting more than 6 months. Early arthroscopic release can be associated with MUA. Regarding treatment of acute infection, if the fracture has healed, the hardware can be removed, and lavage and debridement can be performed along with antibiotic therapy. If the fracture has not healed, the hardware is retained, and lavage, debridement, and antibiotic therapy are performed (sometimes more than once until the fracture heals). Fracture stability is important not only for healing but also for resolving the infection. In cases of osteomyelitis, treatment should be performed in stages: aggressive debridement of devitalised tissue and bone, antibiotic spacing and temporary external fixation until the infection is resolved (first stage), followed by definitive surgery with grafting or soft tissue coverage depending on the bone defect (second stage). Intra-articular or extra-articular osteotomy is a good option to correct malunion in young, active patients without significant joint damage. When malunion is associated with extensive joint involvement or the initial cartilage damage has resulted in knee osteoarthritis, the surgical option is total knee arthroplasty.

Indexed as

complicationssurgical treatmenttibial plateau fractures

Identifiers

PMID35924649
PMCPMC9458943
OpenAlexW4289837633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.