ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
3D assessment of initial fracture displacement of tibial plateau fractures is predictive for risk on conversion to total knee arthroplasty at long-term follow-up.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Risk for total knee arthroplasty after tibial plateau fractures: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Posterior tibial plateau fractures: distinguishing valgus and varus patterns to guide surgical management.International orthopaedics · 2026Review
- 3D guided large osteochondral allograft reconstructions for post-traumatic osteoarticular bone loss of the knee: a technical note.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Comparative Outcomes of Single- Versus Dual-Incision Approaches for Open Reduction and Internal Fixation of Complex Tibial Plateau Fractures.Journal of clinical medicine · 2025Article
- Long-term patient-reported outcomes after nonoperative treatment of distal radial fractures: what CT-based gaps and step-offs can be accepted?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Low rate of secondary interventions for post-traumatic osteoarthritis and satisfactory mid-to-long-term outcomes following tibial plateau fractures.BMC musculoskeletal disorders · 2025Article
- What is the patient-reported outcome, complication rate and conversion to total knee arthroplasty in patients with tibial plateau fractures caused by high-energy compared to low-energy mechanisms of injury?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Development of Machine Learning-based Algorithms to Predict the 2- and 5-year Risk of TKA After Tibial Plateau Fracture Treatment.Clinical orthopaedics and related research · 2025Article
- Evaluating the outcomes of three dimensional printing-assisted osteotomy on treating varus knee deformity from old tibial plateau fractures.International orthopaedics · 2025Article
- Editor's Spotlight/Take 5: What Is the Patient-reported Outcome and Complication Incidence After Operative Versus Nonoperative Treatment of Minimally Displaced Tibial Plateau Fractures?Clinical orthopaedics and related research · 2024Article
- What Is the Patient-reported Outcome and Complication Incidence After Operative Versus Nonoperative Treatment of Minimally Displaced Tibial Plateau Fractures?Clinical orthopaedics and related research · 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
- Development of patient-specific osteosynthesis including 3D-printed drilling guides for medial tibial plateau fracture surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Initial and Residual 3D Fracture Displacement Is Predictive for Patient-Reported Functional Outcome at Mid-Term Follow-Up in Surgically Treated Tibial Plateau Fractures.Journal of clinical medicine · 2023Article
- Both-Column Acetabular Fractures: Does Surgical Approach Vary Based on Using Virtual 3D Reconstructions?Diagnostics (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCurrently used classification systems and measurement methods are insufficient to assess fracture displacement. In this study, a novel 3D measure for fracture displacement is introduced and associated with risk on conversion to total knee arthroplasty (TKA).
methodsA multicenter cross-sectional study was performed including 997 patients treated for a tibial plateau fracture between 2003 and 2018. All patients were contacted for follow-up and 534 (54%) responded. For all patients, the 3D gap area was determined in order to quantify the degree of initial fracture displacement. A cut-off value was determined using ROC curves. Multivariate analysis was performed to assess the association of 3D gap area with conversion to TKA. Subgroups with increasing levels of 3D gap area were identified, and Kaplan-Meier survival curves were plotted to assess survivorship of the knee free from conversion to TKA.
resultsA total of 58 (11%) patients underwent conversation to TKA. An initial 3D gap area ≥ 550 mm
conclusionA novel 3D measurement method was developed to quantify initial fracture displacement of tibial plateau fractures. 3D fracture assessment adds to current classification methods, identifies patients at risk for conversion to TKA at follow-up, and could be used for patient counselling about prognosis. LEVEL OF EVIDENCE: Prognostic Level III.
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