ArticleCureus2025
Association Between Tibial Plateau Fractures and Bone Metabolic Status: A Prospective Observational Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Bicolumnar Stabilization of Bicondylar Tibial Plateau Injuries: A Prospective Study of Combined Buttress Plate and Titanium Elastic Nail Fixation.Journal of orthopaedic case reports · 2026Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTibial plateau fractures are serious injuries affecting knee function and mobility. While typically associated with high-energy trauma, these fractures are increasingly observed in low-energy mechanisms, particularly among patients with compromised bone health.
objectiveTo investigate the relationship between tibial plateau fractures and bone health parameters, specifically focusing on vitamin D status and bone mineral density, and to determine if fracture classification correlates with metabolic bone disease indicators.
methodsA prospective observational study was conducted over 11 months at Evangelismos General Hospital in Athens, Greece. A total of 45 patients with tibial plateau fractures and 28 control patients with knee contusions were assessed. All participants underwent biochemical testing and dual-energy X-ray absorptiometry (DEXA) scanning. Fractures were divided using the Schatzker classification.
resultsA total of 34 (75.6%) patients with tibial plateau fractures had vitamin D deficiency, and 14 (31.1%) were diagnosed with osteopenia. Osteopenia was significantly more prevalent in low-energy trauma patients (six among nine patients vs. eight among 36 patients in high-energy trauma; 66.7% vs. 22.2%, p = 0.017). However, no statistically significant correlation was found between fracture severity and metabolic markers.
conclusionA substantial proportion of patients with tibial plateau fractures exhibit suboptimal bone health, especially vitamin D deficiency and osteopenia. Routine metabolic screening is recommended, particularly for fractures caused by low-energy mechanisms.
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