ArticleBone & joint open2025
The requirement for total knee arthroplasty following surgical fixation of tibial plateau fractures.
Article in Bone & joint open, 2025. 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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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
1 citing paper in PubMed.
- Managing large type 2a bone defects from osteoporotic tibial plateau fractures : a finite element analysis.Bone & joint research · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: Tibial plateau fractures comprise 1% of all fractures, with a gold standard management of open reduction and internal fixation. Post-traumatic osteoarthritis is a common complication following fixation that can result in the requirement of a total knee arthroplasty (TKA). This study was designed to review the rate of TKA following surgical fixation of tibial plateau fractures. Primary outcome was the incidence of periprosthetic joint infection (PJI) and secondary outcome was function in these patients. Methods: This retrospective multicentre study identified all patients with tibial plateau fractures that underwent surgical fixation within our health board over a 12-year period. The patients who then went on to require a TKA were identified. Results: Between May 2008 and May 2021, 854 patients had a tibial plateau fracture managed surgically. Of these, 26 patients (3.04%; 1.89% to 4.20%) went on to require a TKA. Three of the 26 patients (11.54%; -0.74% to 23.82%) developed a PJI. The average increase in Oxford Knee Score was 14.3 for patients who did not go on to develop a PJI, compared with an increase of only 4 points in those that did develop a PJI. All patients in our study who had a TKA following fracture fixation had reduced postoperative patient-reported outcome measures when correlated to those reported in National Joint Registry data nationally for patients following both primary and revision TKA. Conclusion: The rate of TKA following tibial plateau fracture fixation reflected that in the literature. The rate of PJI in our patients who had a TKA following a tibial plateau fracture fixation was found to be significantly higher (p < 0.0001) when compared with primary TKA. In an attempt to reduce the rate of PJI, we advocate for a two-stage approach in these patients. Patients should be counselled that the results of TKA following fracture fixation are inferior to primary TKA.
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