Evidence map›Paper›PMID 36939872›Full record

ArticleInternational orthopaedics2023

Comparison of clinical and radiographic outcomes of arthroscopic-assisted percutaneous fixation versus open reduction internal fixation of lateral tibial plateau fractures.

Kelsey L Overman, Justin T Jabara, Nicholas P Gannon, Kelly E Edwards, David H Kahat, Lauren M Tatman, Julie Agel, Marc F Swiontkowski, Mai P Nguyen

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Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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.

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

2 citing papers in PubMed, 1 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Kelsey L OvermanDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Justin T JabaraDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Nicholas P GannonDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Kelly E EdwardsDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
David H KahatDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Lauren M TatmanDepartment of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, MO, USA.
Julie AgelDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Marc F SwiontkowskiDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Mai P NguyenDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA. maipnguyenmd@gmail.com.ORCID http://orcid.org/0000-0003-4138-2677
University of Minnesota · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTreatment for tibial plateau fractures continues to evolve but maintains primary objectives of anatomic reduction of the joint line and a rapid recovery course. Arthroscopic-assisted percutaneous fixation (AAPF) has been introduced as an alternative to traditional open reduction internal fixation (ORIF). The purpose of the study is to compare clinical and radiographic outcomes in patients with low-energy Schatzker type I-III tibial plateau fractures treated with AAPF versus ORIF.

methodsA retrospective chart review was performed at a level 1 trauma centre to compare outcomes of 120 patients (57 AAPF, 63 ORIF) with low-energy lateral Schatzker type I-III tibial plateau fractures who underwent tibial plateau fixation between 2009 and 2018. Demographic information, injury characteristics, and surgical treatment were recorded. The main outcome measurements included reduction step-off, joint space narrowing, time to weight bearing, and implant removal.

resultsThere was no difference in age, gender distribution, BMI, ASA, Schatzker classification distribution, initial displacement, blood loss, and reduction step-off between the two groups (p > 0.05). Shorter tourniquet time (74.1 ± 21.7 vs 100.0 ± 21.0 min; p < 0.001), shorter time to full weight bearing (47.8 ± 15.2 vs. 69.1 ± 17.2 days; p < 0.001), and lower rate of joint space narrowing (3.5% vs. 28.6% with more than 1 mm, p < 0.001) were associated with the AAPF cohort, with no difference in pain, knee range of motion, or implant removal rate between the two cohorts.

conclusionAAPF may be a viable alternative to ORIF for the management of low-energy tibial plateau fractures with outcomes not inferior compared to the traditional ORIF method.

Indexed as

Tibial FracturesTibial Plateau FracturesFracture Fixation, InternalHumansOpen Fracture ReductionRetrospective StudiesTreatment OutcomeArthroscopic-assistedArthroscopic-assisted tibial plateauPercutaneous fixationTibial plateau fracture

Identifiers

PMID36939872
OpenAlexW4327896550

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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.