ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Nanoscopy and an extended lateral approach can improve the management of latero-central segments in tibial plateau fractures: a cadaveric study.
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 6 papers.
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Who cites it
6 citing papers in PubMed.
- Needle Arthroscopy in Orthopedic Practice: Clinical Applications, Evidence Architecture, and Translational Gaps-A Scoping Review.Journal of clinical medicine · 2026Review
- Arthroscopically assisted refixation of bony ACL tears with accompanying posteraleral tibial plateau ("apple bite") fractures - a minimally invasive treatment approach.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Location of lateral tibial plateau fractures relative to the posterolateral complex predicts the need for extension of lateral approaches: A retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Lateral epicondyle osteotomy results in improved radiologic and functional outcomes in severe lateral tibial plateau fractures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Lack of standardisation in the management of complex tibial plateau fractures: a multicentre experience.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Comparison of different intraoperative reduction monitoring methods in a cadaveric intraarticular calcaneal fracture model: 3D scan vs arthroscopy vs nanoscopy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
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8 authors.
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Abstract
introductionThe objective of this investigation was to compare different techniques to improve visualization and reduction in tibial plateau fractures involving the central lateral segments.
methodsMatched pairs of pre-fractured cadaveric tibial plateau fractures that include the central lateral segments were treated by either an anterolateral approach (supine) or PL approach (prone). Reduction was stepwise extended by additional fracturoscopy (FS), nanoscopy (NS) and lastly by epicondyle osteotomy (ECO). Reduction was analyzed by 3D scan and visualization of the lateral plateau was quantified.
resultsTen specimens (3 pairs 41B3.1, 2 pairs 41C3.3) were analyzed. Fracture steps involving the antero-latero-central (ALC) segment were insufficiently reduced after fluoroscopy using both approaches (AL 2.2 ± 1.2 mm vs PL 2.2 ± 1.0 mm, p 0.95). Additional NS and ECO achieved optimized fracture reduction in the ALC segment (NS AL 1.6 ± 1.3 mm vs PL 0.8 ± 0.9 mm, p 0.32). NS provided visualization of the entire lateral plateau (PL 102.9% ± 7.4, AL 108.8 ± 19.2%), while fracturoscopy only allowed visualization of the ALL segment and partially of PLL and ALC segments (PL 22.0 ± 23.4%, AL 29.7 ± 18.3%).
conclusionOptimized reduction of tibial head fractures with involvement of latero-central segments requires additional video-assisted reduction or extended approaches. Nanoscopy helps visualizing of the entire lateral plateau, when compared to fracturoscopy and may become a valuable reduction aid.
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