{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T02:53:15Z","timestamp":1779936795648,"version":"3.53.1"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Current management of tibial plateau fractures requires careful soft-tissue management. Often a staged approach with temporary external fixation followed by delayed internal fixation is recommended. While proven in high-energy injuries, its relevance in treating low-energy fractures has not been investigated. The goal of the current study was to assess the short-term complication rates in low-energy tibial plateau fractures treated early (&lt;48 hr). As a secondary aim, we investigated whether surgical approach would affect rates of wound complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>This is a retrospective analysis of patients treated operatively for low-energy tibial plateau fractures at a level-1 urban trauma center between January 1, 2000 and January 1, 2010. Schatzker type 1-3 fractures were considered \u201clow-energy,\u201d despite stated mechanism. Statistical analysis was performed using chi-square and Fischer\u2019s exact tests.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>We analyzed 49 patients. From these, 29 received early (&lt;48 hr) definitive surgery, while 20 had surgery delayed (&gt;48 hr). The early treatment group had an infection rate of 3.4% and total complication rate of 20.6%. The delayed treatment group had an infection rate of 5.0% and total complication rate of 25%. There was no significant difference with respect to superficial infection (<jats:italic toggle=\"yes\">P<\/jats:italic>=1.0), deep infection (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.48), or total complications (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.74) Additionally, infection rates did not differ between surgical approaches (<jats:italic toggle=\"yes\">P<\/jats:italic>=1.0, 1.0).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Early surgical fixation (&lt;48 hr) of low-energy tibial plateau fractures can be performed safely. Additionally, a midline approach did not increase soft-tissue complications and could be utilized in a patient with a prior midline incision, or one who will soon require a knee arthroplasty.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bco.0000000000000390","type":"journal-article","created":{"date-parts":[[2016,7,4]],"date-time":"2016-07-04T11:49:48Z","timestamp":1467632988000},"page":"351-354","source":"Crossref","is-referenced-by-count":5,"title":["Second Place Award Immediate versus delayed operative treatment of low-energy tibial plateau fractures"],"prefix":"10.1097","volume":"27","author":[{"given":"Harold Scott","family":"Ellsworth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan R.","family":"Dubin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadie M.","family":"Alongi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akin","family":"Cil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230829","first-page":"94","article-title":"The tibial plateau fracture. 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