Tibial Plateau Fractures

Fractures in the proximal portion of the TIBIA which acts as articular surface in the KNEE. They are often associated with knee ligament injuries (e.g., ACL TEARS).

Also Known As:

Fracture, Tibial Plateau; Tibial Plateau Fracture; Bicondylar Tibial Plateau Fracture; Bicondylar Tibial Plateau Fractures; Lateral Tibial Plateau Fracture; Lateral Tibial Plateau Fractures; Medial Tibial Plateau Fracture; Medial Tibial Plateau Fractures

Networked: 424 relevant articles (24 outcomes, 84 trials/studies)

Relationship Network

Disease Context: Research Results

Wounds and Injuries: 176426
- Bone Fractures: 3857
  - Tibial Fractures: 1458
    - Tibial Plateau Fractures: 424
  - Knee Fractures: 178
    - Tibial Plateau Fractures: 424
- Leg Injuries: 75
  - Tibial Fractures: 1458
    - Tibial Plateau Fractures: 424
  - Knee Injuries: 1051
    - Knee Fractures: 178
      - Tibial Plateau Fractures: 424

Related Diseases

1.	Pain (Aches)
2.	Infections
3.	Compartment Syndromes
4.	Arthritis (Polyarthritis)
5.	Postoperative Pain

Experts

1.	Frosch, Karl-Heinz: 7 articles (07/2022 - 08/2010)
2.	Krause, Matthias: 5 articles (07/2022 - 08/2016)
3.	Crist, Brett D: 5 articles (06/2020 - 03/2010)
4.	Egol, Kenneth A: 5 articles (05/2020 - 02/2012)
5.	Stannard, James P: 5 articles (04/2019 - 06/2006)
6.	Brèque, C: 4 articles (01/2022 - 06/2013)
7.	Vendeuvre, T: 4 articles (01/2022 - 06/2013)
8.	Zhang, Yingze: 4 articles (09/2021 - 05/2017)
9.	Oladeji, Lasun O: 4 articles (06/2020 - 07/2016)
10.	Hoekstra, Harm: 3 articles (10/2022 - 10/2018)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Tibial Plateau Fractures:

1.	Bone SubstitutesIBA 11/06/2023 - "Efficacy of Cal-Cemex as bone substitute for tibial plateau fractures." 10/01/2021 - "The purpose of this study was to describe the incidence of subsidence in patients with AO/OTA 41 (tibial plateau) fractures which were repaired with a novel fenestrated screw system to used to deliver CaPO4 bone substitute material to fill the subchondral void and support the articular reduction. " 04/01/2011 - "Purpose of this study was to compare bioactive glass and autogenous bone as a bone substitute material in tibial plateau fractures. " 10/01/2023 - "We describe three cases of tibial plateau fractures managed with a synthetic bone substitute (b.Bone™, GreenBone ORTHO S.p.A Faenza, Italy) with a highly interconnected and porous 3D structure to mimic the hierarchical architecture and morphology of natural human bone." 10/01/2023 - "Bone substitutes are commonly used to fill such defects as part of the surgical treatment of tibial plateau fractures. "
2.	Anti-Bacterial Agents (Antibiotics)IBA 06/01/2023 - "Background: To study the feasibility and efficacy of antibiotic cement in preserving endoplants after infection in patients with early tibial plateau fracture on plate exposure. " 06/01/2023 - "Conclusions: The antibiotic cement coating used for treating early post-operative infection in patients with tibial plateau fracture could effectively control infection while retaining endoplant, thereby promoting wound healing. " 04/01/2023 - "Despite the improvements in surgical techniques and the use of prophylactic intravenous antibiotics, the fracture-related infection (FRI) incidence after high-risk tibial plateau fractures remains high. " 12/31/2022 - "Implantation of antibiotic artificial bone, retention or removal of internal fixation according to infection and fracture healing, application of external fixation timely is an effective method to treat infection after internal fixation of tibial plateau fractures, which can control infection effectively and promote functional recovery." 12/31/2022 - "Antibiotic artificial bone implantation for the treatment of infection after internal fixation of tibial plateau fractures."
3.	TitaniumIBA 02/01/2020 - "Fixation augmentation using titanium cage packing with xenograft augmentation is a safe and effective way to treat the depressed tibial plateau fractures." 06/01/2015 - "Porous titanium granules are better than autograft bone as a bone void filler in lateral tibial plateau fractures: A randomised trial." 02/01/2020 - "To evaluate a new surgical technique concerning titanium cage packing with xenograft demineralized bone matrix bovine augmentation in the management of subchondral bone defects associated with tibial plateau fractures. " 02/01/2020 - "Fixation augmentation using titanium cage packing with xenograft in the treatment of tibial plateau fractures." 12/01/2014 - "[Allergic to titanium plate fixation implants after operation of tibial plateau fracture: a case report]."
4.	Narcotics (Narcotic Analgesics)IBA 12/01/2019 - "To determine whether a continuous femoral nerve block after open reduction internal fixation of tibial plateau fractures would diminish Visual Analog Scale (VAS) scores and/or systemic narcotic intake. " 12/01/2019 - "Femoral nerve blocks for postoperative pain management in tibial plateau fractures did not demonstrate an improvement in pain relief or narcotic use. "
5.	Analgesics (Analgesic Drugs)IBA 12/01/2022 - "The use of local multimodal periarticular analgesic for closed tibial plateau fractures appears to be beneficial for short-term pain control post-operatively. " 12/01/2022 - "We hypothesized that closed tibial plateau fracture patients receiving the local multimodal analgesic medications would experience a decrease in VAS pain scores. "
6.	A 19IBA 12/01/2020 - "With the clinical data of the small-sample-size population (11 patients) during a 19 to 60-month follow-up, the modified anatomic locking plate for the posteromedial tibial plateau proved to be safe and effective and is an adequate fixation method for the treatment of posteromedial tibial plateau fractures."
7.	calcium phosphateIBA 01/01/2018 - "In our cadaveric study, in combination with calcium phosphate augmentation for both methods, percutaneous screw fixation conferred comparable strength of fixation compared with plate/screw constructs for treatment of OTA 41-B3 (Schatzker type II) tibial plateau fractures." 12/01/2017 - "This study assessed the long-term resorption of two different calcium phosphate products (A=ChronOS™ inject and B=Norian® SRS®; both DePuy Synthes, Oberdorf, Switzerland) used in the surgical treatment of tibial plateau fractures. " 10/01/2008 - "The bioresorbable calcium phosphate cement used in this study appears to be a better choice, at least in terms of the prevention of subsidence, than autogenous iliac bone graft for the treatment of subarticular defects associated with unstable tibial plateau fractures. " 02/01/2003 - "The objective of this study was to compare the effect of a calcium phosphate cement with that of impacted cancellous autograft for maintaining an anatomical reduction in an experimental model of a tibial plateau fracture. " 12/01/2017 - "Long-term radiographic appearance of calcium-phosphate synthetic bone grafts after surgical treatment of tibial plateau fractures."
8.	ElementsIBA 11/07/2023 - "Biomechanical study of a new rim plate fixation strategy for two kinds of posterolateral depression patterns of tibial plateau fractures: a finite element analysis." 01/01/2023 - "The study of biomechanics and finite element analysis on a novel plate for tibial plateau fractures via anterolateral supra-fibular-head approach." 10/01/2022 - "This study presents a comparative structural finite element analysis between two different fixation methods for high-energy tibial plateau fractures: limited contact dynamic compression plate (LC-DCP) and locking compression plate (LCP). " 10/01/2022 - "Comparative analysis of tibial plateau fracture osteosynthesis: A finite element study." 03/01/2022 - "The aim of the present study was to analyze three methods of reduction, single medial, single lateral, and dual plating, for the treatment of a bicondylar tibial plateau fracture, through finite element analysis (FEA). "
9.	aldosterone secretion inhibitory factor (ASIF)IBA 08/01/1994 - "Included in the study were those patients with an articular surface depression of > or = 2 mm with radiographic findings consistent with the AO/ASIF classification of tibial plateau fractures (41 B2.2/B3.1). " 01/01/1993 - "Included in the study were those patients with a 2 mm or greater articular surface depression with radiographic findings consistent with the AO/ASIF classification of tibial plateau fractures, 41 B2.2./B3.1. A combined procedure was performed with arthroscopic visualization of the knee joint and utilization of a cannulated plateau elevator. " 12/01/2009 - "Three-dimensional CT images can improve the inter-observer and intra-observer reliability regarding both AO/ASIF and Schatzker classification systems of tibial plateau fractures compared to 2D CT images. " 07/01/1997 - "The classification of tibial plateau fractures is based on morphological criteria according to AO/ASIF and Schatzker or on functional criteria according to Moore. " 09/01/2020 - "To verify inter- and intra-observer agreement of three classification systems for tibial plateau fractures - Schatzker, AO/ASIF, and Luo's - among orthopedic surgery residents. "
10.	Therapeutic UsesIBA 08/25/2016 - "To study the methods and therapeutic effects of posterolateral tibial plateau fractures with an extended anterolateral approach. " 11/01/2014 - "To study technique and clinical therapeutic effects of internal fixation with three-column plates for the treatment of complex tibial plateau fractures through antero-midline and postero-medial approaches. " 09/01/2011 - "To investigate therapeutic effects of minimally invasive arthroscopic internal fixation with plates and screws in treating tibial plateau fractures. " 09/01/2011 - "[Case-control studies on therapeutic effects for the treatments of tibial plateau fractures between arthroscopic technique in minimally invasion surgery and minimally invasive internal fixation with plates and screws]."

Therapies and Procedures

1.	Osteotomy 12/01/2019 - "The anterolateral combined posterolateral approach and the transfibular neck osteotomy approach are effective in the surgical treatment of lateral tibial plateau fractures involving the posterolateral column. " 05/01/2017 - "An innovative intra-articular osteotomy via an extended anterolateral approach is an effective treatment for posterolateral tibial plateau fracture malunion. " 04/15/2014 - "This study investigates the safety and efficacy of anterolateral (AL) osteotomy for the treatment of lateral tibial plateau fractures merged with relatively simple and intact posterolateral (PL) corner displacement and screens applicable patients. " 01/01/2023 - "The Efficacy of 3D Printing Model in the Intraarticular Osteotomy in the Treatment of Malunion of Tibial Plateau Fracture." 01/01/2022 - "In this study, we aim to investigate the clinical effect of 3D printing combined with osteotomy of the tibial lateral condyle in the treatment of tibial plateau fractures involving the external posterior condyle. "
2.	Operative Surgical Procedures 01/01/2020 - "In conclusion, pre-operative simulation using a 3D printing model may be helpful for the treatment of old and complex tibial plateau fractures, which may be conducive to the pre-operative planning and to making the surgical procedure accurate and personalized. " 01/01/2023 - "Methods: Forty-four patients with tibial plateau fractures were enrolled in the study and divided into two groups-control and observation-according to the different surgical procedures. " 11/01/2018 - "To describe patients' outcomes after revision of tibial plateau fracture fixation within 12 months of the initial surgical procedure. " 11/17/2015 - "The minimally invasive, balloon-assisted reduction and cement-augmented internal fixation of the tibial plateau is an innovative surgical procedure for tibial plateau fractures. " 05/03/2022 - "BACKGROUND The Frosch approach is a posterolateral surgical procedure performed with or without osteotomy of the fibula for the treatment of posterolateral tibial plateau fractures (PLFs). "
3.	Operative Time 09/01/2015 - "The posteromedial approach combined with anterolateral approach for posterolateral tibial plateau fractures can fully expose the posterolateral aspects of the tibial plateau, and thus collapsed and splited fractures can be treated at the same time, which will lead to less operative time and good outcomes in the treatment of posterolateral tibial plateau collapsed and splited fractures." 01/01/2023 - "The posterior approach for posterior tibial plateau fractures offers advantages such as improved ROM and shorter operative time. " 01/01/2023 - "Compared with other approaches, the posterior approach for posterior tibial plateau fractures was associated with a better ROM and shorter operative time. " 01/01/2015 - "The virtual group was better than control group in the treatment of tibial plateau fractures of Schatzker type III, due to shorter operative time, smaller incision length, and lower blood loss. " 01/01/2023 - "Conclusion: The modified posterolateral approach for posterior tibial plateau fractures has less intraoperative bleeding and a shorter operative time compared with the conventional lateral approach. "
4.	Knee Replacement Arthroplasty (Total Knee Replacement) 07/01/2020 - "Cementless unicompartmental knee arthroplasty (UKA) has advantages over cemented UKA, including improved fixation, but has a higher risk of tibial plateau fracture, particularly in Japanese patients. " 11/01/2022 - "We included all studies without restrictions regarding total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture. " 11/01/2022 - "A systematic literature search of studies on total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture was conducted using OVID Medline, Scopus, and Cochrane databases from 1946 to 18 November 2019. " 01/01/2021 - "The purpose of this study was to determine whether this association is present for open reduction internal fixation (ORIF) of tibial plateau fractures regarding the outcome of conversion to total knee arthroplasty (TKA). " 05/01/2020 - "The aim of the study was to retrospectively analyze the clinical and radiological outcomes of primary total knee arthroplasty (TKA) versus open reduction and internal fixation (ORIF) in elderly patients presenting with acute complex tibial plateau fractures. "
5.	External Fixators 11/01/2018 - "Definitive fixation with circular external fixator is effective in complex Schatzker VI tibial plateau fractures. " 05/01/2023 - "The purpose of this study was to compare the rates of postoperative stiffness after second-stage definitive surgery for high-energy tibial plateau fractures between groups of patients who had the external fixator prepped into the surgical field and those who did not. " 09/01/2018 - "This study is to investigate clinical and radiological results of staged treatment using a temporary external fixator in bicondylar tibial plateau fractures (TPFs) and to evaluate correlation between prognostic factors and postoperative clinical outcomes. " 05/01/2018 - "This study aimed to present clinical outcomes in patients with tibial plateau fractures who were treated with hybrid external fixators and describe the details of our technique. " 08/15/2006 - "To study the clinical effect of tractive reduction with external fixator and arthroscopically assisted treatment for tibial plateau fractures. "