{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T06:02:05Z","timestamp":1779775325348,"version":"3.53.1"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Three\u2010dimensional (3D) assessment of tibial plateau fractures has traditionally relied on surface\u2010based parameters such as gap area, which may not fully reflect the severity of articular injury. This study investigated whether volumetric quantification of articular depression provides independent prognostic information beyond conventional surface\u2010based 3D measurements in Schatzker type III tibial plateau fractures. A retrospective analysis was performed on 38 patients with isolated Schatzker type III lateral tibial plateau fractures treated operatively between 2017 and 2023. Preoperative computed tomography scans were used to generate 3D reconstructions. Three\u2010dimensional gap area, depression surface area, and depression volume were quantified. Patients with a postoperative articular step\u2010off \u2265\u20092\u2009mm were excluded. Radiological outcomes were graded using the Kellgren\u2013Lawrence (KL) classification, and functional outcomes were assessed using the KOOS. Mean depression volume was 5650\u2009\u00b1\u20092459\u2009mm3. Depression volume showed only moderate correlation with depression surface area (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.42,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) and 3D gap area (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). Patients with depression volumes \u2265\u20096000\u2009mm3 demonstrated significantly lower KOOS compared with those with volumes &lt;\u20096000\u2009mm3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). In multivariable logistic regression analyses adjusted for demographic variables and surface\u2010based fracture parameters, depression volume remained significantly associated with poor radiological outcome (KL\u2009\u2265\u20092; odds ratio 2.34 per 1000\u2009mm3 increase,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). Volumetric quantification of articular depression provides clinically relevant prognostic information beyond surface\u2010based 3D measurements and may improve risk stratification in Schatzker type III tibial plateau fractures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Prognostic Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jor.70224","type":"journal-article","created":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T10:19:47Z","timestamp":1778408387000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Volumetric Quantification of Articular Depression Adds Prognostic Value to Three\u2010Dimensional Gap Area Assessment in Schatzker Type III Tibial Plateau Fractures"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6033-0795","authenticated-orcid":false,"given":"Fatih Emre","family":"Topsakal","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology Erzurum City Hospital Erzurum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6731-0829","authenticated-orcid":false,"given":"Ba\u015fak Sinem","family":"Sezgin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Erzurum City Hospital Erzurum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3709-558X","authenticated-orcid":false,"given":"Ekrem","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Erzurum City Hospital Erzurum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasuhi","family":"Altay","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Erzurum City Hospital Erzurum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yavuz","family":"\u015eahbat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Istinye University Bahcesehir Liv Hospital Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Demirel","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Erzurum City Hospital Erzurum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0790-5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.09.014"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20150902-55"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.01.025"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-50887-6"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-02139-y"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.08.003"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000762"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000132627.13539.02"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.21359"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.1.000031"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mri.2012.05.001"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4732-4"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-64"},{"issue":"11","key":"e_1_2_8_16_1","first-page":"S208","article-title":"Measures of Knee Function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS\u2010PS), Knee Outcome Survey Activities of Daily Living Scale (KOS\u2010ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS)","volume":"63","author":"Collins N. 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Letter to the Editor concerning \u201cRevisiting the Schatzker classification of tibial plateau fractures\u201d by Kfuri M Schatzker Journal of Injury. 49 (12) (2019): 2252\u20132263 https:\/\/doi.org\/10.1016\/j.injury.2019.01.020.","DOI":"10.1016\/j.injury.2018.11.010"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.1997.12.4.641"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4068-3"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2016.148"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0006355X2004041003004017"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e328349c2d2"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-016-0427-5"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.96.BJR-2019-0382.R2"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-17"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00565"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.01.023"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2018.1453714"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001663"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.04.026"}],"container-title":["Journal of Orthopaedic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jor.70224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jor.70224","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jor.70224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T05:02:07Z","timestamp":1779771727000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jor.70224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/jor.70224"],"URL":"https:\/\/doi.org\/10.1002\/jor.70224","archive":["Portico"],"relation":{},"ISSN":["0736-0266","1554-527X"],"issn-type":[{"value":"0736-0266","type":"print"},{"value":"1554-527X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70224"}}