SynthesisEuropean journal of medical research2025
A systematic analysis assessing epidemiological characteristics and surgical outcomes of posterolateral tibial plateau fractures.
Synthesis in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- [Treatment of tibial plateau fractures between the priorities of reconstruction and arthroplasty].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Arthroscopic Treatment of Schatzker Type III Tibial Plateau Fractures Using a Combination of Bioabsorbable Interference Screws and Cannulated Screws.Arthroscopy techniques · 2026Article
- Comparative study on the efficacy of structural support fixation vs. conventional fixation for depressed tibial plateau fractures.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Anterior auxiliary limited open incision for Schatzker IV total medial plateau fractures with posterolateral collapse: a retrospective study.BMC musculoskeletal disorders · 2026Article
- Comparison of Gerdy's tubercle osteotomy versus conventional anterolateral approach for posterolateral tibial plateau fractures: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
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6 authors.
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Abstract
objectiveTo analyze the Schatzker classification and related epidemiological situation of posterolateral tibial plateau fractures (PTPFs), and analyze the curative effect of different surgical approaches and internal fixation methods according to the subtype of PTPFs, to provide a strategic basis for clinicians to treat posterolateral plateau fractures.
methodsA comprehensive search was conducted across the PubMed, Embase, Cochrane Library, and Web of Science databases to identify PTPFs between 2000 and 2024. The epidemiological data related to PTPFs, including its injury reason, Schatzker and OTA/AO classification, combined injury, complication, fixation methods, function evaluation methods, and other data, were manually screened and retrieved for comparative analysis. The data were analyzed by SPSS 27.0, and the quality of evidence was evaluated according to the MINORS (Methodological Index for Non-Randomized Studies) evaluation tool.
resultsAmong PTPFs, the common causes of injury were traffic accidents and falls (71.2%, 238/334 vs 23.9%, 80/334), and the most common complications were ligament (ACL, etc.) and meniscus injury (33.6%, 110/327 vs 28.7%, 94/327). Schatzker type II accounted for 50.5-73.7% and type III accounted for 22.8-43.9%. More than half of PTPF fixation can be completed by placing an L-shaped rafting plate (+ screws) through an anterolateral approach. In some situations, fibula neck osteotomies were performed and all healed. The overall excellent and good rate of all internal fixation systems was 0.82 [0.69, 0.95], the excellent and good rate of plates was 0.9 [0.82, 0.98], and the excellent and good rate of absorbable screws was 0.85 [0.75, 0.96]. HSS score was most widely used in postoperative functional evaluation, and reduction loss (22.2%) was the most common postoperative complication.
conclusionSchatzker type II is the most common type in PTPFs. More than half of PTPF fixation can be completed by placing an L-shaped rafting plate (+ screws) through an extended anterolateral approach, especially for PTPFs involving Zone I-II. LEVEL OF EVIDENCE: Level I.
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