{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:07:19Z","timestamp":1779188839355,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the radiological and functional outcomes of the newly proposed lateral articular line approach with those of the traditional extended anterolateral approach in the management of Schatzker type II\u2013III tibial plateau fractures involving the posterolateral quadrant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center retrospective cohort study included 90 patients who underwent open reduction and internal fixation using either lateral articular line approach (n\u2009=\u200945) or extended anterolateral approach (n\u2009=\u200945). Perioperative data (operative time, blood loss, and incision length), radiological outcomes (articular depression and posterior tibial slope), and functional recovery (Rasmussen knee scores and range of motion) were evaluated up to 12 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with the extended anterolateral approach, the lateral articular line approach significantly reduced operative time (72.47 vs. 87.73\u2009min, p\u2009&lt;\u20090.001), blood loss (80.11 vs. 133.33\u2009mL, p\u2009&lt;\u20090.001), and incision length (6.0 vs. 15.0\u2009cm, p\u2009&lt;\u20090.001). The lateral articular line approach also achieved better reduction quality with smaller final articular depression (0.55 vs. 1.55\u2009mm, p\u2009&lt;\u20090.001) and yielded higher Rasmussen knee scores and greater range of motion at all follow-up assessments (all p\u2009&lt;\u20090.05). Complication rates were comparable between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The lateral articular line approach offers a minimally invasive and reliable alternative to the extended anterolateral approach for Schatzker type II\u2013III tibial plateau fractures with posterolateral involvement, providing superior reduction quality, faster recovery, and less surgical trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261426190","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:23:27Z","timestamp":1773253407000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lateral articular line versus extended anterolateral approach for Schatzker type II\u2013III tibial plateau fractures"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7077-5245","authenticated-orcid":false,"given":"Hexin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Lishui Central Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinxi","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Huazhong University of Science and Technology Hospital, Tongji Hospital, Tongji Medical College, China"},{"name":"Department of Orthopedics, Yueyang People\u2019s Hospital, Hunan Normal University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.13450"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2020.0339"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.12544"},{"key":"e_1_3_7_5_2","article-title":"A retrospective clinical control study of extended anterolateral approach and Frosch approach in Schatzker type II tibial plateau fractures involving the posterolateral column","author":"Yan Y","year":"2020","unstructured":"Yan Y, Xu R, Yuan X. A retrospective clinical control study of extended anterolateral approach and Frosch approach in Schatzker type II tibial plateau fractures involving the posterolateral column. Research Square. Epub ahead of print 27 May 2020. 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Extended anterolateral approach for treatment of posterolateral tibial plateau fractures improves operative procedure and patient prognosis. Int J Clin Exp Med 2015; 8: 13708\u201313715.","journal-title":"Int J Clin Exp Med"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.01.019"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20130920-16"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.03.009"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.09.041"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001955"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.01.023"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1564731"},{"key":"e_1_3_7_22_2","first-page":"368","article-title":"Advances in selection of surgical approach and internal fixation for posterolateral tibial plateau fractures","volume":"12","author":"Liu Z","year":"2019","unstructured":"Liu Z, Jia J, Hu Y. Advances in selection of surgical approach and internal fixation for posterolateral tibial plateau fractures. Chinese Journal of Trauma 2019; 12: 368\u2013376.","journal-title":"Chinese Journal of Trauma"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.11.010"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.04.024"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-020-01422-0"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-018-0515-6"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3304-y"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1598077"},{"key":"e_1_3_7_29_2","first-page":"352","article-title":"[Effects of expanded anterolateral approach for tibial plateau fractures involved the posterolateral column]","volume":"98","author":"Zhao YW","year":"2018","unstructured":"Zhao YW, Xie JB, Ding GZ. 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