ArticlePloS one2025
The Tibial Plateau fracture-Current incidence and treatment in Germany.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Efficacy of the use of 3D printing models in the treatment of tibial plateau fractures: a pilot randomized clinical trial.Journal of orthopaedic surgery and research · 2026Trial
- Association of systemic bone mineral density and tibial cortical thickness with postoperative subsidence after surgical treatment of tibial plateau fractures.Archives of orthopaedic and trauma surgery · 2026Article
- [Primary total knee arthroplasty in geriatric patients with tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- [Treatment of tibial plateau fractures between the priorities of reconstruction and arthroplasty].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Anterior auxiliary limited open incision for Schatzker IV total medial plateau fractures with posterolateral collapse: a retrospective study.BMC musculoskeletal disorders · 2026Article
- Medial Tibial Plateau Fractures and Fracture-Dislocations: A Mechanism-Based Narrative Review of Instability Patterns, Imaging, and Contemporary Management.Orthopedic reviews · 2026Article
- Predictive value of a preoperative computed tomography-derived perifracture soft-tissue envelope index for fracture-related infection after open reduction and internal fixation of tibial plateau fractures.Frontiers in medicine · 2026Article
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Authors and funding
6 authors.
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Abstract
purposeThis study aims to analyze the epidemiology, incidence, and treatment of tibial plateau fractures in Germany from 2019 to 2022. The focus is on understanding demographic trends, clinical presentations, and surgical management strategies for this severe injury.
methodsA retrospective cohort study was conducted using data from the German Institute for the Hospital Remuneration System (InEK) from 2019 to 2022. Cases were identified using the International Classification of Diseases 10th Revision (ICD-10) codes related to tibial plateau fractures, and documented surgical procedures were categorized using OPS codes. The Patient Clinical Complexity Level (PCCL) was used to assess the severity of cases.
resultsA total of 79,158 cases of tibial plateau fractures were recorded during the study period, with an incidence of 22.4-25.3 per 100,000 inhabitants. Women were more frequently affected, accounting for 61.5% ± 1.1% of cases annually. The average hospital stay was 9.2 ± 0.1 days, and 76.5% ± 0.5% of patients were categorized at PCCL 0. Most fractures were multifragmentary 68.8% ± 1.3%, and the predominant documented treatment method was open reduction and internal fixation with plate osteosynthesis 63.5% ± 2.8%. 23.6% ± 2.2% of cases required bone grafting, with a preference for allografts.
conclusionsTibial plateau fractures represent a significant and stable burden in Germany, with an incidence ranging from 22.4 to 25.3 per 100,000 inhabitants. Women accounted for 61.5% ± 1.1% of cases, highlighting a gender-related predisposition. The mean hospital stay remained stable at 9.2 ± 0.1 days. The study underscores the need for tailored treatment strategies and highlights the importance of preventive measures, particularly for the elderly population, in order to reduce the incidence of these fractures. Future research should focus on improving surgical techniques and postoperative care to enhance patient outcomes and potentially reduce hospital stay durations.
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