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Secondary aims included comparing patient-reported outcome scores and rates of hardware failure and reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Design<\/jats:italic>\n                      Retrospective review.\n                      <jats:italic>Setting<\/jats:italic>\n                      <jats:bold>:<\/jats:bold>\n                      Multi-center Level I Tertiary Academic Center.\n                      <jats:italic>Patient Selection Criteria<\/jats:italic>\n                      <jats:bold>:<\/jats:bold>\n                      Adult patients with AO\/OTA 41B3.1 LSD tibial plateau fractures treated over 30\u00a0months by a single surgeon were identified. Patients were included when their fractures were treated with either a MF T-plate (2.7\u00a0mm in thickness) or a pre-contoured anatomic AL plate.\n                      <jats:italic>Main Outcome Measures<\/jats:italic>\n                      <jats:bold>:<\/jats:bold>\n                      \u00a0The primary outcome was the distance from the lateral joint line to the most proximal screw (screw-to-joint distance [SJD]) as measured on intraoperative fluoroscopy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-four patients were included with patients having received either a 2.7-mm MF T-plate (n\u2009=\u200914) or a standard AL proximal tibia plate (n\u2009=\u200910) and were followed for a median time of 29\u00a0weeks. Average SJD was 3.79\u00a0mm in the MF group and 8.67\u00a0mm in the AL group (p\u2009&lt;\u20090.001). There was no difference in PROMIS scores between the groups. No patients experienced loss of reduction, implant loosening\/failure, reoperation, or removal of tibial plateau hardware.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mini-fragment plates allow for a significantly shorter SJD compared to AL plates, allowing surgeons to provide more proximal rafting of LSD fractures while maintaining low rates of postoperative complications. No increase in fracture subsidence was observed when using mini-fragment fixation alone compared to AL plates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-025-04435-w","type":"journal-article","created":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T09:19:50Z","timestamp":1753521590000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Do mini-fragment T-plates allow for more proximal rafting than pre-contoured anatomic plates in lateral split-depression tibial plateau fractures?"],"prefix":"10.1007","volume":"35","author":[{"given":"Elizabeth","family":"Lechtholz-Zey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Allen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Luu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Hasegawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Patterson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Gary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,7,26]]},"reference":[{"key":"4435_CR1","doi-asserted-by":"publisher","first-page":"e780","DOI":"10.3928\/01477447-20150902-55","volume":"38","author":"R Elsoe","year":"2015","unstructured":"Elsoe R, Larsen P, Nielsen NP, Swenne J, Rasmussen S, Ostgaard SE (2015) Population-based epidemiology of tibial plateau fractures. 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Michael Allen: None. Ivan Luu: None Ian Hasegawa: None Joseph T Patterson: AOTrauma North America: Board or committee member, research support; Bodycad: IP royalties, paid consultant; European Journal of Orthopaedic Surgery and Traumatology: Editorial or governing board; Globus Medical: Paid consultant; Johnson & Johnson: Paid consultant; Journal of Orthopaedic Trauma: Editorial or governing board; Orthopaedic Trauma Association: Board or committee member, research support; Stryker: Paid consultant Joshua L Gary: Stryker: Consulting and royalties; Smith and Nephew: Consulting and royalties; Curvafix: Consulting and stock options; SMV Scientific: Stockholder; Agnovos: Clinical Evaluation Committee Member \u201cRestore\u201d study; AO: Honoraria for teaching.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"326"}}