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Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence
If not treated adequately, tibia plateau fractures result in premature osteoarthritis and lifelong disability. The advent of newer implants and techniques to improve outcomes has necessitated the development of different surgical approaches. A Medline and EMBASE search (June 2020) was conducted to i...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395202/ https://www.ncbi.nlm.nih.gov/pubmed/36039265 http://dx.doi.org/10.7759/cureus.27183 |
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author | Sidhu, Gur Aziz Singh Hind, Jamie Ashwood, Neil Kaur, Harjot Bridgwater, Hannah Rajagopalan, Shyam |
author_facet | Sidhu, Gur Aziz Singh Hind, Jamie Ashwood, Neil Kaur, Harjot Bridgwater, Hannah Rajagopalan, Shyam |
author_sort | Sidhu, Gur Aziz Singh |
collection | PubMed |
description | If not treated adequately, tibia plateau fractures result in premature osteoarthritis and lifelong disability. The advent of newer implants and techniques to improve outcomes has necessitated the development of different surgical approaches. A Medline and EMBASE search (June 2020) was conducted to identify publications during the last 10 years that focused on surgical approaches for proximal tibia fractures/ tibia plateau management. A total of 2107123 and 2715399 articles were found related to fractures in this area with 133 and 103 review articles looking at the approach on MEDLINE and EMBASE, respectively. This article reviews the continued development of the surgical approaches to aid understanding for surgeons and identify areas for future research to help improve outcomes. Although the anterolateral approach is the most commonly applied surgical technique, having the knowledge of newer approaches (medial, posteromedial, posterolateral, or direct posterior) in the armamentarium is necessary to treat the vast array of fracture patterns. There has been a shift amongst trauma surgeons of using a combination of approaches for complex tibia plateau fractures. |
format | Online Article Text |
id | pubmed-9395202 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-93952022022-08-28 Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence Sidhu, Gur Aziz Singh Hind, Jamie Ashwood, Neil Kaur, Harjot Bridgwater, Hannah Rajagopalan, Shyam Cureus Anatomy If not treated adequately, tibia plateau fractures result in premature osteoarthritis and lifelong disability. The advent of newer implants and techniques to improve outcomes has necessitated the development of different surgical approaches. A Medline and EMBASE search (June 2020) was conducted to identify publications during the last 10 years that focused on surgical approaches for proximal tibia fractures/ tibia plateau management. A total of 2107123 and 2715399 articles were found related to fractures in this area with 133 and 103 review articles looking at the approach on MEDLINE and EMBASE, respectively. This article reviews the continued development of the surgical approaches to aid understanding for surgeons and identify areas for future research to help improve outcomes. Although the anterolateral approach is the most commonly applied surgical technique, having the knowledge of newer approaches (medial, posteromedial, posterolateral, or direct posterior) in the armamentarium is necessary to treat the vast array of fracture patterns. There has been a shift amongst trauma surgeons of using a combination of approaches for complex tibia plateau fractures. Cureus 2022-07-23 /pmc/articles/PMC9395202/ /pubmed/36039265 http://dx.doi.org/10.7759/cureus.27183 Text en Copyright © 2022, Sidhu et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anatomy Sidhu, Gur Aziz Singh Hind, Jamie Ashwood, Neil Kaur, Harjot Bridgwater, Hannah Rajagopalan, Shyam Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence |
title | Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence |
title_full | Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence |
title_fullStr | Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence |
title_full_unstemmed | Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence |
title_short | Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence |
title_sort | systematic review of current approaches to tibia plateau: best clinical evidence |
topic | Anatomy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395202/ https://www.ncbi.nlm.nih.gov/pubmed/36039265 http://dx.doi.org/10.7759/cureus.27183 |
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