Evidence map›Paper›PMID 37762994›Full record

ArticleJournal of clinical medicine2023

Initial and Residual 3D Fracture Displacement Is Predictive for Patient-Reported Functional Outcome at Mid-Term Follow-Up in Surgically Treated Tibial Plateau Fractures.

Nick Assink, Eelke Bosma, Anne M L Meesters, Sven H van Helden, Robert J Nijveldt, Kaj Ten Duis, Max J H Witjes, Jean-Paul P M de Vries, Joep Kraeima, Frank F A IJpma

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. 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 · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Advances of 3D printing technologies in orthopaedic trauma and surgical training: a transformative approach.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
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

10 authors.

Nick AssinkDepartment of Trauma Surgery, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-0034-6816
Eelke BosmaDepartment of Trauma Surgery, Martini Hospital, 9712 CP Groningen, The Netherlands.
Anne M L MeestersDepartment of Trauma Surgery, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.ORCID 0000-0001-6882-0054
Sven H van HeldenDepartment of Trauma Surgery, Isala Hospital, 8025 AB Zwolle, The Netherlands.
Robert J NijveldtDepartment of Trauma Surgery, Isala Hospital, 8025 AB Zwolle, The Netherlands.
Kaj Ten DuisDepartment of Trauma Surgery, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Max J H Witjes3D Lab, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Jean-Paul P M de VriesDepartment of Surgery, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-2669-320X
Joep Kraeima3D Lab, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.ORCID 0000-0001-8527-960X
Frank F A IJpmaDepartment of Trauma Surgery, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-9420-2732

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional measures of fracture displacement have low interobserver reliability. This study introduced a novel 3D method to measure tibial plateau fracture displacement and its impact on functional outcome.

methodsA multicentre study was conducted on patients who had tibial plateau fracture surgery between 2003 and 2018. Eligible patients had a preoperative CT scan (slice thickness ≤ 1 mm) and received a Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. A total of 362 patients responded (57%), and assessment of initial and residual fracture displacement was performed via measurement using the 3D gap area (mm

resultsFunctional outcome appeared significantly worse when initial or residual fracture displacement increased. Multivariate linear regression showed that initial 3D gap area (per 100 mm

conclusionA novel 3D measurement method was applied to quantify initial and residual displacement. This is the first study which can reliably classify the degree of displacement and indicates that increasing displacement results in poorer patient-reported functional outcomes.

Indexed as

3DKOOSpatient-reported outcomeQ3DCTthree-dimensionaltibial plateau fracture

Identifiers

PMID37762994
PMCPMC10531969

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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.