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
Sidhu, Gur Aziz Singh
Hind, Jamie
Ashwood, Neil
Kaur, Harjot
Bridgwater, Hannah
Rajagopalan, Shyam
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Affiliation
University Hospitals of Derby and Burton NHS Foundation Trust; Walsall Healthcare NHS Trust; London Queens Elizabeth Hospital; Human Anatomy Centre; University of Cambridge
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Publication date
2022-07-23
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Abstract
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.
Citation
Sidhu GAS, Hind J, Ashwood N, Kaur H, Bridgwater H, Rajagopalan S. Systematic Review of Current Approaches to Tibia Plateau: Best Clinical Evidence. Cureus. 2022 Jul 23;14(7):e27183.
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Article