Evidence map›Paper›PMID 41588457›Full record

ArticleEuropean journal of medical research2026

Comparative effectiveness of arthroscopic-assisted versus open reduction and internal fixation in the treatment of tibial plateau fractures: a retrospective study.

Zhizhong Tian, Ruiping Jia, Xinjun Guo, Likai Zhang, Xiao Yun, Lin Wang

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Article in European journal of medical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Zhizhong TianDepartment of Orthopedics, Xinxiang Central Hospital, The Fourth Clinical College of Xinxiang Medical University, No.56 Jinsui Avenue, Weibin District, Xinxiang, 453000, Henan Province, China. 18336068306@163.com.
Ruiping JiaDepartment of Orthopedics, Xinxiang Central Hospital, The Fourth Clinical College of Xinxiang Medical University, No.56 Jinsui Avenue, Weibin District, Xinxiang, 453000, Henan Province, China.
Xinjun GuoDepartment of Orthopedics, Xinxiang Central Hospital, The Fourth Clinical College of Xinxiang Medical University, No.56 Jinsui Avenue, Weibin District, Xinxiang, 453000, Henan Province, China.
Likai ZhangDepartment of Orthopedics, Xinxiang Central Hospital, The Fourth Clinical College of Xinxiang Medical University, No.56 Jinsui Avenue, Weibin District, Xinxiang, 453000, Henan Province, China.
Xiao YunDepartment of Orthopedics, Xinxiang Central Hospital, The Fourth Clinical College of Xinxiang Medical University, No.56 Jinsui Avenue, Weibin District, Xinxiang, 453000, Henan Province, China.
Lin WangDepartment of Orthopedics, Xinxiang Central Hospital, The Fourth Clinical College of Xinxiang Medical University, No.56 Jinsui Avenue, Weibin District, Xinxiang, 453000, Henan Province, China.

Funding

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6 · The paper itself

Abstract

backgroundTibial plateau fractures require accurate articular reduction and stable fixation to restore knee function and minimize complications. Arthroscopic-assisted reduction and internal fixation (ARIF) may reduce soft-tissue disruption compared with open reduction and internal fixation (ORIF). To compare clinical outcomes and complication profiles of ARIF versus ORIF for tibial plateau fractures.

methodsThis retrospective cohort study included adults (≥ 18 years) with radiographically confirmed tibial plateau fractures treated surgically between January 2020 and January 2024 at a single center. Patients underwent ORIF (traditional group, n = 65) or ARIF (arthroscopic-assisted group, n = 68). Outcomes included intraoperative blood loss, operative time, incision length, time to ambulation, fracture healing time, wound healing time, knee range of motion (ROM), pain assessed by the Visual Analogue Scale (VAS), Lysholm score categories (excellent/good/fair/poor) with effectiveness rate (excellent + good), and postoperative complications. LEVEL OF EVIDENCE: III.

resultsBaseline characteristics were comparable (age: 38.1 ± 4.3 vs 37.9 ± 4.1 years, p = 0.748; sex distribution, p = 0.514). Compared with ORIF, ARIF was associated with lower blood loss (200 ± 28 vs 250 ± 50 mL; t = 4.779; p < 0.05), shorter operative time (73 ± 12 vs 90 ± 13 min; t = 5.263; p < 0.05), and smaller incisions (6.8 ± 1.3 vs 13.8 ± 2.3 cm; t = 14.512; p < 0.05). ARIF showed faster recovery, including earlier ambulation (3.2 ± 0.7 vs 5.2 ± 1.6 days; t = 6.273; p < 0.05) and shorter fracture healing time (81.3 ± 2.3 vs 87.1 ± 2.8 days; t = 8.767; p < 0.05). At 6 months, ARIF achieved greater knee flexion (108.0 ± 9.0 vs 97.0 ± 9.6°; t = 4.579; p < 0.05) and lower VAS pain (0.9 ± 0.3 vs 1.4 ± 0.4; t = 5.477; p < 0.05). The Lysholm-based effectiveness rate was higher with ARIF (85.3% vs 66.2%; χ

conclusionsIn this retrospective cohort, ARIF was associated with improved perioperative efficiency, faster recovery, better short-term functional outcomes, and fewer selected complications compared with ORIF. Prospective, multicenter randomized studies with longer follow-up are warranted to confirm these findings and to further clarify the long-term functional outcomes and complication profiles of ARIF compared with ORIF.

Indexed as

Arthroscopic-assisted reduction and internal fixation (ARIF)Open reduction and internal fixationSurgical outcomesTibial plateau fractures

Identifiers

PMID41588457
PMCPMC12918179

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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.