ArticleJournal of orthopaedic surgery and research2023
Arthroscopic-assisted reduction and internal fixation for complex tibial plateau fracture: radiographic and clinical outcomes with 2- to 15-year follow-up.
Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The efficacy of arthroscopy-assisted versus stand-alone open reduction and internal fixation for treating tibial plateau fracture: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- 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
- Early Postoperative Pain and Its Risk Factors in Patients Undergoing Total Knee Arthroplasty Under the ERAS Protocol.Journal of pain research · 2026Article
- [Tibial plateau fractures : Tips and tricks].Orthopadie (Heidelberg, Germany) · 2025Review
- Long-term follow-up of minimally invasive percutaneous plate osteosynthesis with double reverse traction repositor in patients with tibia plateau fracture: an analysis of at least seven years' outcomes.International orthopaedics · 2025Article
- Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures.Journal of orthopaedic case reports · 2025Article
- [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 · 2025Article
- Long-term surgical outcomes of open reduction and internal fixation (ORIF) in patients with Hoffa-like tibial plateau fractures: a clinical study and analysis.International orthopaedics · 2024Article
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6 authors.
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Abstract
backgroundTo investigate the radiologic and prognostic outcomes after using arthroscopic-assisted reduction and internal fixation (ARIF) in complex tibial plateau fractures with mid- to long-term follow-up.
methodsThis retrospective study reviewed complex tibial plateau fractures that underwent ARIF from 1999 to 2019. Radiologic outcomes, including tibial plateau angle (TPA), posterior slope angle (PSA), Kellgren-Lawrence classification and Rasmussen radiologic assessment, were measured and evaluated. The prognosis and complications were assessed by the Rasmussen clinical assessment with a minimum follow-up of 2 years.
resultsNinety-two consecutive patients (mean age: 46.9 years) with a mean follow-up of 74.8 months (24-180) were included in our series. Using AO classification, there were 20 type C1 fractures, 21 type C2 fractures, and 51 type C3 fractures. All the fractures achieved solid union. TPA was maintained well on average at the last follow-up and showed no significant difference compared to postoperatively (p = 0.208). In the sagittal plane, the mean PSA increased from 9.3 ± 2.9° to 9.6 ± 3.1° (p = 0.092). A statistically significant increase in PSA was also noted in the C3 group (p = 0.044). Superficial or deep infection was noted in 4 cases (4.3%), and total knee arthroplasty (TKA) was performed in 2 cases (2.2%) due to grade 4 osteoarthritis (OA). Ninety (97.8%) and 89 (96.7%) patients had good or excellent results in the Rasmussen radiologic assessment and Rasmussen clinical assessment, respectively.
conclusionsThe complex tibial plateau fracture could be treated successfully using arthroscopy-assisted reduction and internal fixation. Most patients achieve excellent and good clinical outcomes with low complication rates. In our experience, a higher incidence of increased slope was noted, especially in type C3 fractures. Reduction of the posterior fragment should be done cautiously during the operation. LEVELS OF EVIDENCE: Level III.
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