SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures: a systematic literature review.
Synthesis 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 19 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
19 citing papers in PubMed, 17 citations in OpenAlex.
- [Primary total knee arthroplasty in geriatric patients with tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Severe medial tibial plateau fractures: feasibility and functional and radiographic results of an extended approach with medial femoral epicondyle osteotomy.Journal of orthopaedic surgery and research · 2026Article
- Posterior tibial plateau fractures: distinguishing valgus and varus patterns to guide surgical management.International orthopaedics · 2026Review
- Current concepts in the management of high-energy tibial plateau fractures: a narrative review.EFORT open reviews · 2026Review
- From fracture to joint injury: association between CT-based fracture characteristics and surgically treated non-bony injuries in tibial plateau fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Fractures Around the Knee-Significant Achievements During the Past 25 Years and Major Questions to Be Solved.Journal of clinical medicine · 2026Review
- A study on the association between tibial plateau fractures and intra-articular soft-tissue injuries under valgus injury mechanisms.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Fracture morphological characteristics and associated soft-tissue injuries in flexion varus tibial plateau fractures.Bone & joint research · 2026Article
- Minimizing Missed Diagnoses of Tibial Plateau Fractures: The Role of AI in Radiographic Evaluation.The Journal of bone and joint surgery. American volume · 2026Article
- Medial Tibial Plateau Fractures and Fracture-Dislocations: A Mechanism-Based Narrative Review of Instability Patterns, Imaging, and Contemporary Management.Orthopedic reviews · 2026Article
- Predictive value of a preoperative computed tomography-derived perifracture soft-tissue envelope index for fracture-related infection after open reduction and internal fixation of tibial plateau fractures.Frontiers in medicine · 2026Article
- Diagnostic Predictors of Recovery Outcomes Following Open Reduction and Internal Fixation for Tibial Plateau Fractures: A Retrospective Study Based on the Schatzker Classification.Diagnostics (Basel, Switzerland) · 2025Article
- Combined internal fixation and autologous chondrocyte implantation for tibial plateau fracture concomitant with cartilage injury: a case report.Journal of surgical case reports · 2025Article
- Evaluating Meniscus, Ligament and Soft Tissue Injury Using MRI in Tibial Plateau Fractures: A Tscherne Classification Approach.Medicina (Kaunas, Lithuania) · 2024Article
- Management of aseptic nonunions of bicondylar tibial plateau fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Knee Instability Following Fractures Around the Knee Joint: Diagnostic Dilemma and Management Challenges.Indian journal of orthopaedics · 2024Article
- Tibial plateau fractures are associated with ligamentous and meniscal injuries. Preoperative evaluation of magnetic resonance imaging influences surgical treatment.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- A Unique Upside-down Flip-lid Type of Lateral Tibial Plateau Fracture Fragment in a Bicondylar Tibial Plateau Fracture Managed with Dual Plates and Raft Screws.Journal of orthopaedic case reports · 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
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe outcome of a tibial plateau fracture (TPF) depends on the fracture reduction achieved and the extent of soft-tissue lesions, including lesions in the ligaments, cartilage, and menisci. Sub-optimal treatment can result in poor knee function and osteoarthritis. Preoperative planning is primarily based on conventional X-ray and computed tomography (CT), which are unsuitable for diagnosing soft-tissue lesions. Magnetic resonance imaging (MRI) is not routinely performed. To date, no literature exists that clearly states the indications for preoperative MRI. This systematic review aimed to determine the frequency of soft-tissue lesions in TPFs, the association between fracture type and soft-tissue lesions, and the types of cases for which MRI is indicated.
methodsA systematic review of the literature was based on articles located in PubMed/MEDLINE and the Cochrane Central Register of Controlled Trials (CENTRAL), supplemented by searching the included articles' reference lists and the ePublication lists of leading orthopedic and trauma journals.
resultsA total of 1138 studies were retrieved. Of these, 18 met the eligibility criteria and included a total of 877 patients. The proportion of total soft-tissue lesions was 93.0%. The proportions of soft-tissue lesions were as follows: medial collateral ligament 20.7%, lateral collateral ligament 22.9%, anterior cruciate ligament 36.8%, posterior cruciate ligament 14.8%, lateral meniscus 48.9%, and medial meniscus 24.5%. A weak association was found between increasing frequency of LCL and ACL lesions and an increase in fracture type according to Schatzker's classification. No standard algorithm for MRI scans of TPFs was found.
conclusionAt least one ligament or meniscal lesion is present in 93.0% of TPF cases. More studies with higher levels of evidence are needed to find out in which particular cases MRI adds value. However, MRI is recommended, at least in young patients and cases of high-energy trauma.
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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.