Evidence map›Paper›PMID 39567407›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Management of aseptic nonunions of bicondylar tibial plateau fractures.

Andrew M Hresko, Mihir Dekhne, Phillip Grisdela, Sravya Challa, Theodore Guild, Upender M Singh, Michael J Weaver, Derek Stenquist, Arvind von Keudell

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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.

Andrew M HreskoHarvard Combined Orthopaedic Residency Program, Boston, MA, USA. ahresko@mgb.org.ORCID http://orcid.org/0000-0002-6696-617X
Mihir DekhneHarvard Orthopaedic Trauma Initiative, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0546-5566
Phillip GrisdelaHarvard Combined Orthopaedic Residency Program, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5325-3461
Sravya ChallaHarvard Combined Orthopaedic Residency Program, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0045-1015
Theodore GuildHarvard Combined Orthopaedic Residency Program, Boston, MA, USA.
Upender M SinghDepartment of Orthopaedic Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Michael J WeaverHarvard Orthopaedic Trauma Initiative, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1062-8144
Derek StenquistHarvard Orthopaedic Trauma Initiative, Harvard Medical School, Boston, MA, USA.
Arvind von KeudellHarvard Orthopaedic Trauma Initiative, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3312-7556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNonunion of bicondylar tibial plateau (BTP) fractures following open reduction internal fixation (ORIF) is rare but challenging. We report a case series of aseptic BTP nonunions, approaches to treatment, and long-term outcomes.

methodsRetrospective case series of aseptic nonunion in operatively treated BTP fractures. Cases with deep infection prior to a revision were excluded. Demographic, injury, and initial fixation characteristics were collected. Clinical course following diagnosis of nonunion was reviewed. Revision operation characteristics, timing, and outcomes were recorded.

results13 patients with aseptic nonunion were identified from 508 BTP fractures. Mean (SD) follow-up was 5.2 years (4.6) from the first revision operation for nonunion. Nine patients underwent revision ORIF, which led to union in 6/9 cases. Two patients had total knee arthroplasty (TKA) performed as the initial revision operation for nonunion. One patient was treated with bone grafting without revision of implants and one patient was lost to follow-up after diagnosis of nonunion. Three patients subsequently had TKA performed following failed revision ORIF. In total 5/13 patients underwent TKA.

conclusionsRevision ORIF of aseptic nonunion of a BTP fracture often leads to successful union. However, TKA may be utilized in select cases and at a higher rate than in primary tibial plateau fractures.

Indexed as

Arthroplasty, Replacement, KneeFracture Fixation, InternalFractures, UnunitedReoperationTibial FracturesAdultAgedBone TransplantationFemaleFollow-Up StudiesFracture HealingHumansMaleMiddle AgedOpen Fracture ReductionRetrospective StudiesBicondylar tibial plateau fractureNonunionRevision surgeryTotal knee arthroplasty

Identifiers

PMID39567407

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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.