8 papers · updated 2026-10-05 · Orthopaedic Trauma · All topics
The newest papers on tibial plateau fractures from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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Arterial injury occurs in approximately 1% of surgically treated tibial plateau fractures on CTA; certain fracture patterns appeared more frequently among affected cases but findings are descriptive only.
Geriatric tibial plateau fracture complications (24%) are driven by fracture morphology and surgical complexity, not classic patient risk factors; ORIF remains standard when feasible.
Conversion TKA after tibial plateau fracture ORIF carries roughly 2-3x higher risk of infection, revision, and 30-day readmission than primary TKA, warranting tailored counseling and surgical planning.
In 213 surgically fixed tibial plateau fractures, older age, posterior column involvement, and greater preoperative/postoperative step-off or widening independently predicted loss of reduction, highlighting the need for optimal fixation in these patients.
Early definitive fixation (<72h) of tibial plateau fractures lowered deep and overall infection risk versus delayed fixation, without added complications.
Approaching the posterolateral quadrant of the tibial plateau: challenges and strategies.
Reviews surgical approaches to posterolateral tibial plateau fractures, comparing strengths, weaknesses, technical details, and indications for each given the challenging local anatomy and limited fixation footprint.
Circular External Fixation in the Treatment of Complex Tibial Plateau Fractures.
Circular external fixation offers a biomechanically adaptable, minimally invasive alternative to internal fixation for complex tibial plateau fractures with compromised soft tissue, achieving excellent results with potentially fewer complications.
Evaluation and Management of Posterior Tibial Plateau Fractures.
This review outlines evaluation, classification, surgical approaches, and fixation principles for posterior tibial plateau fractures to guide management of these complex injuries.
In 83 complex bicondylar tibial plateau fractures treated with two-incision dual plating, deep infection occurred in 8.4% (linked to vascular injury) while most patients achieved satisfactory alignment, supporting this technique's safety over single-incision approaches.
Degenerative Arthritis After Tibial Plateau Fractures
Long-term follow-up of 131 tibial plateau fractures found 44% developed secondary osteoarthritis, strongly linked to meniscal removal and malalignment, underscoring the importance of meniscal preservation and anatomic reduction.
Operative Treatment of 109 Tibial Plateau Fractures: Five- to 27-Year Follow-up Results
Long-term follow-up (5–27 years) of 109 surgically treated tibial plateau fractures showed excellent functional outcomes overall, though malalignment over 5 degrees significantly increased osteoarthritis risk.
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