{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:11:00Z","timestamp":1780596660319,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Surgical treatment for Schatzker type II tibial plateau fractures remains challenging and requires high\u2010quality research. The aim of the study is to compare the \u201cwindowing\u201d and \u201copen book\u201d techniques for the treatment of Schatzker type II tibial plateau fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective study, all patients with Schatzker type II tibial plateau fractures between January 2014 and December 2017 were managed by open reduction and internal fixation using an anterolateral incision approach. \u201cWindowing\u201d group included 78 patients (53 men and 25 women), with an average age of 57.7\u00a0\u00b1\u200913.5\u2009years, who underwent the \u201cwindowing\u201d technique, in which the procedure was performed through a small cortical window against the depressed zone of the lateral plateau. The \u201copen book\u201d group included 80 patients (56 men and 24 women), with an average age of 54.8\u00a0\u00b1\u200912.4\u2009years, who underwent the technique. The clinical outcomes included the Rasmussen classification of knee function and grading of post\u2010traumatic arthritis. The radiographic outcome (x\u2010ray and computed tomography [CT]) was the reduction quality of the lateral plateau based on the modified Rasmussen radiological assessment. The patient\u2010reported outcome was visual analogue scale (VAS) scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up time for the158 patients was 32\u00a0months (range, 24\u201342\u00a0months). The time elapsed from injury to surgery in \u201cwindowing\u201d group and \u201copen book\u201d group were 3.7\u00a0\u00b1\u20091.2 (range, 1\u201310\u2009days) and 3.5\u00a0\u00b1\u20091.4\u2009days (range, 1\u201311\u2009days), respectively, with no significant difference between the groups (<jats:italic>P<\/jats:italic>\u00a0&gt;\u20090.05). The operation times did not differ significantly between the \u201cwindowing\u201d group (61.0\u2009\u00b1\u20098.3\u00a0min, range, 45\u2013120\u2009min) and the \u201copen book\u201d group (61.2\u00a0\u00b1\u200910.4\u00a0min, range, 40\u2013123\u2009min) (<jats:italic>P<\/jats:italic>\u00a0&gt;\u20090.05). After surgery, CT revealed five (6.4%) and 15 (18.8%) cases of articular depression in the \u201cwindowing\u201d and \u201copen book\u201d groups, respectively. Significant differences were observed in the articular depression of tibial plateau fractures between the groups (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05). However, condylar widening or valgus\/varus did not differ significantly between the groups. Furthermore, no significant differences in knee function were observed during follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0&gt;\u20090.05). VAS scores were similar between the groups at 24\u00a0months after surgery (<jats:italic>P<\/jats:italic>\u00a0&gt;\u20090.05). There were significant differences in the number of severe post\u2010traumatic arthritis (grades 2 and 3) cases between the groups (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The \u201cwindowing\u201d and \u201copen book\u201d techniques are both effective for the treatment of Schatzker type II tibial plateau fractures. However, the \u201cwindowing\u201d technique provides better reduction quality, leading to a satisfactory prognosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13450","type":"journal-article","created":{"date-parts":[[2022,9,3]],"date-time":"2022-09-03T05:54:27Z","timestamp":1662184467000},"page":"2553-2562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Clinical Comparison of the \u201cWindowing\u201d Technique and the \u201cOpen Book\u201d Technique in Schatzker Type <scp>II<\/scp> Tibial Plateau Fracture"],"prefix":"10.1111","volume":"14","author":[{"given":"Jichong","family":"Ying","sequence":"first","affiliation":[{"name":"Department of Traumatic Orthopedics Ningbo No.6 Hospital  Ningbo China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2803-9842","authenticated-orcid":false,"given":"Tianming","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics Ningbo No.6 Hospital  Ningbo China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianlei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics Ningbo No.6 Hospital  Ningbo China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dichao","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics Ningbo No.6 Hospital  Ningbo China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailin","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics Ningbo No.6 Hospital  Ningbo China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunqiang","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics Ningbo No.6 Hospital  Ningbo China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20150902-55"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200601000-00005"},{"key":"e_1_2_8_4_1","first-page":"94","article-title":"The tibial plateau fracture. The Toronto experience 1968\u20131975","volume":"138","author":"Schatzker J","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200711101-00001"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31825c17e7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200106000-00002"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.04.026"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5134-9"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-1825-5"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001177"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2012.11.011"},{"key":"e_1_2_8_13_1","first-page":"760","article-title":"Arthroscopy\u2010assisted surgery for tibial plateau fractures: 2\u2010 to 10\u2010year follow\u2010up results","volume":"24","author":"Chan YS","year":"2008","journal-title":"Art Ther"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1008-1275(08)60058-9"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3256-2"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2022.03.016"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12205"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000581"},{"key":"e_1_2_8_19_1","first-page":"231820","article-title":"Analysis for clinical effect of virtual windowing and poking reduction treatment for Schatzker III tibial plateau fracture based on 3D CT data","volume":"2015","author":"Zhang H","year":"2015","journal-title":"Biomed Res Int"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004020000145"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199706000-00007"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-002-0310-2"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000735"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181e5e17d"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00866"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200502000-00002"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200210000-00003"},{"key":"e_1_2_8_28_1","first-page":"669","article-title":"Arthroscopic evaluation of soft tissue injuries in tibial plateau fractures: retrospective analysis of 98 cases","volume":"22","author":"Abdel\u2010Hamid MZ","year":"2006","journal-title":"Art Ther"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9290(03)00004-6"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13450","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.13450","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13450","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T06:12:52Z","timestamp":1692684772000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13450"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,2]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1111\/os.13450"],"URL":"https:\/\/doi.org\/10.1111\/os.13450","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,2]]},"assertion":[{"value":"2021-04-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}