{"id":"https://openalex.org/W7224089756","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921","title":"Functional outcomes of posteromedial plating in proximal tibial plateau fractures: a prospective clinical study","display_name":"Functional outcomes of posteromedial plating in proximal tibial plateau fractures: a prospective clinical study","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224089756","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921"},"language":"en","primary_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263921","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4502/2561","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijoro.org/index.php/ijoro/article/download/4502/2561","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160058176","display_name":"D. Vamsi Krishna","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I116891498","display_name":"Siddhartha Medical College","ror":"https://ror.org/058pt1w78","country_code":"IN","type":"education","lineage":["https://openalex.org/I116891498"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"D. Vamsi Krishna","raw_affiliation_strings":["Department of Orthopaedics, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Siddhartha Medical College, Vijayawada, Andhra Pradesh, India","institution_ids":["https://openalex.org/I116891498"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160055354","display_name":"C. Akhila","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800401362","display_name":"Government of Andhra Pradesh","ror":"https://ror.org/045mrnd19","country_code":"IN","type":"government","lineage":["https://openalex.org/I2800401362"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"C. Akhila","raw_affiliation_strings":["Department of Pharmacology, Government Medical College, Piduguralla, Andhra Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacology, Government Medical College, Piduguralla, Andhra Pradesh, India","institution_ids":["https://openalex.org/I2800401362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160045273","display_name":"B. Akhila Devi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B. Akhila Devi","raw_affiliation_strings":["Department of Oral and Maxillofacial Surgery, Drs. Sudha and Nageswara Rao Institute of Dental Sciences, Vijayawada, Andhra Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Oral and Maxillofacial Surgery, Drs. Sudha and Nageswara Rao Institute of Dental Sciences, Vijayawada, Andhra Pradesh, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159989117","display_name":"G. Hemanth Kumar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405257640","display_name":"All India Institute of Medical Sciences, Mangalagiri","ror":"https://ror.org/05gcgh726","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405257640"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"G. Hemanth Kumar","raw_affiliation_strings":["Department of Pharmacology, AIIMS Mangalagiri, Andhra Pradesh, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacology, AIIMS Mangalagiri, Andhra Pradesh, India","institution_ids":["https://openalex.org/I4405257640"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160043994","display_name":"L. R. Kishore Kumar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L. R. Kishore Kumar","raw_affiliation_strings":["Department of Arthroscopy and Orthopaedic Surgery, Arkavathi Hospital, Bengaluru, Karnataka, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Arthroscopy and Orthopaedic Surgery, Arkavathi Hospital, Bengaluru, Karnataka, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5155346478","display_name":"Sahithi Mandava","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261501","display_name":"Malla Reddy Institute Of Medical Sciences","ror":"https://ror.org/05d34fg54","country_code":"IN","type":"education","lineage":["https://openalex.org/I4405254961","https://openalex.org/I4405261501"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Sahithi Mandava","raw_affiliation_strings":["Department of Community Medicine, Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Medicine, Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India","institution_ids":["https://openalex.org/I4405261501"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160031501","display_name":"Surangari Anil Kumar Goud","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I15853019","display_name":"Gandhi Medical College & Hospital","ror":"https://ror.org/021pyej66","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I15853019"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Surangari Anil Kumar Goud","raw_affiliation_strings":["Department of Pharmacology, Gandhi Medical College, Secunderabad, Telangana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacology, Gandhi Medical College, Secunderabad, Telangana, India","institution_ids":["https://openalex.org/I15853019"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87226257,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"6","first_page":"1840","last_page":"1845"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/schatzker-classification","display_name":"Schatzker classification","score":0.7360000014305115},{"id":"https://openalex.org/keywords/knee-stability","display_name":"knee stability","score":0.47099998593330383},{"id":"https://openalex.org/keywords/dual-plating","display_name":"dual plating","score":0.6050000190734863},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.7829999923706055},{"id":"https://openalex.org/keywords/knee-stiffness","display_name":"knee stiffness","score":0.8199999928474426},{"id":"https://openalex.org/keywords/wound-dehiscence","display_name":"wound dehiscence","score":0.7459999918937683},{"id":"https://openalex.org/keywords/hardware-failure","display_name":"hardware failure","score":0.4410000145435333}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9460999965667725},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6212999820709229},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.5778999924659729},{"id":"https://openalex.org/C2780664938","wikidata":"https://www.wikidata.org/wiki/Q1398178","display_name":"Wound dehiscence","level":2,"score":0.5702999830245972},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.47920000553131104},{"id":"https://openalex.org/C2780660378","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Internal fixation","level":2,"score":0.460999995470047},{"id":"https://openalex.org/C2987828669","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical study","level":2,"score":0.4562000036239624},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.44679999351501465},{"id":"https://openalex.org/C2776224337","wikidata":"https://www.wikidata.org/wiki/Q7800447","display_name":"Tibial plateau fracture","level":3,"score":0.4187999963760376},{"id":"https://openalex.org/C139812875","wikidata":"https://www.wikidata.org/wiki/Q3704821","display_name":"Dehiscence","level":2,"score":0.39559999108314514},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.366100013256073},{"id":"https://openalex.org/C111335779","wikidata":"https://www.wikidata.org/wiki/Q3454686","display_name":"Reduction (mathematics)","level":2,"score":0.33180001378059387},{"id":"https://openalex.org/C2780030769","wikidata":"https://www.wikidata.org/wiki/Q4968575","display_name":"Plateau (mathematics)","level":2,"score":0.32829999923706055},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.30979999899864197},{"id":"https://openalex.org/C2780741286","wikidata":"https://www.wikidata.org/wiki/Q1757985","display_name":"Posterior column","level":3,"score":0.28459998965263367},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.2542000114917755},{"id":"https://openalex.org/C3017587775","wikidata":"https://www.wikidata.org/wiki/Q9644","display_name":"Articular surface","level":2,"score":0.2517000138759613}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263921","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4502/2561","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20263921","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20263921","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4502/2561","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224089756.pdf","grobid_xml":"https://content.openalex.org/works/W7224089756.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W107871556","https://openalex.org/W1999786118","https://openalex.org/W2002827476","https://openalex.org/W2023711891","https://openalex.org/W2037159397","https://openalex.org/W2066990535","https://openalex.org/W2075625991","https://openalex.org/W2125805655","https://openalex.org/W2147647752","https://openalex.org/W2472165994","https://openalex.org/W2904223653","https://openalex.org/W4293025173"],"related_works":["https://openalex.org/W2886881278","https://openalex.org/W3082862774","https://openalex.org/W4385375487","https://openalex.org/W4360973895","https://openalex.org/W4294250654","https://openalex.org/W3041269118","https://openalex.org/W2916957336","https://openalex.org/W4230695709","https://openalex.org/W2896716980","https://openalex.org/W4409790636"],"abstract_inverted_index":{"Background:":[0],"Proximal":[1],"tibial":[2,46,58,220,255],"plateau":[3,59,221,256],"fractures":[4,60,143,222],"involving":[5,61,223],"the":[6,32,44,62,85,93,114,129,224,240,250],"posteromedial":[7,63,67,157,225,241],"fragment":[8,64,242],"represent":[9],"a":[10,77,233],"complex":[11,253],"injury":[12,134],"pattern":[13],"associated":[14],"with":[15,56,66,70,189],"instability,":[16],"late":[17],"collapse,":[18],"and":[19,103,120,141,151,165,183,200,232],"poor":[20,191],"functional":[21,95,172,230],"outcomes":[22,89,102,173,231],"if":[23],"inadequately":[24],"addressed.":[25],"Conventional":[26],"fixation":[27,217,238],"strategies":[28],"focusing":[29],"only":[30],"on":[31,43],"anterolateral":[33],"column":[34],"may":[35],"fail":[36],"to":[37],"counteract":[38],"posterior":[39],"shear":[40],"forces":[41],"acting":[42],"medial":[45],"plateau.":[47],"Methods:":[48],"This":[49],"prospective":[50],"clinical":[51],"study":[52],"included":[53],"30":[54,115],"patients":[55,116,164,199],"proximal":[57,219,254],"treated":[65],"buttress":[68],"plating,":[69],"or":[71],"without":[72],"additional":[73],"lateral":[74],"fixation,":[75],"at":[76,98],"tertiary":[78],"care":[79],"center.":[80],"Fractures":[81],"were":[82,90,106,123,128,144,174],"classified":[83],"using":[84,92],"Schatzker":[86,137],"system.":[87],"Functional":[88],"assessed":[91],"Rasmussen":[94,171],"scoring":[96],"system":[97],"final":[99],"follow-up.":[100],"Radiological":[101],"post-operative":[104],"complications":[105],"also":[107],"evaluated.":[108],"Results:":[109],"The":[110],"mean":[111],"age":[112],"of":[113,133,239,252],"was":[117,159,209],"42.0\u00b18.92":[118],"years,":[119],"25":[121],"(83.33%)":[122],"male.":[124],"Motor":[125],"vehicle":[126],"accidents":[127],"most":[130],"common":[131],"mechanism":[132],"(13":[135],"(43.33%)).":[136],"type":[138],"IV,":[139],"V,":[140],"VI":[142],"observed":[145],"in":[146,161,168,176,180,185,196,203,228,249],"18":[147],"(60.00%),":[148],"9":[149,169],"(30.00%),":[150],"3":[152,186],"(10.00%)":[153,187],"patients,":[154,188],"respectively.":[155],"Single":[156],"plating":[158,167,213],"performed":[160],"21":[162,177],"(70.00%)":[163],"double":[166],"(30.00%).":[170],"excellent":[175],"(70.00%),":[178],"good":[179],"6":[181],"(20.00%),":[182],"fair":[184],"no":[190,206],"outcomes.":[192],"Knee":[193],"stiffness":[194],"occurred":[195],"2":[197],"(6.67%)":[198],"wound":[201],"dehiscence":[202],"1":[204],"(3.33%);":[205],"hardware":[207],"failure":[208],"reported.":[210],"Conclusion:":[211],"Posteromedial":[212],"provides":[214],"biomechanically":[215],"stable":[216],"for":[218],"fragment,":[226],"resulting":[227],"favourable":[229],"low":[234],"complication":[235],"rate.":[236],"Direct":[237],"should":[243],"be":[244],"considered":[245],"an":[246],"integral":[247],"component":[248],"management":[251],"fractures.":[257]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2026-10-29T00:00:00"}
