{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:00:25Z","timestamp":1793196025856,"version":"4.5.0"},"reference-count":120,"publisher":"Bioscientifica","issue":"8","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,8,1]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>Open reduction and internal fixation is the gold standard treatment for tibial plateau fractures. However, the procedure is not free of complications such as knee stiffness, acute infection, chronic infection (osteomyelitis), malunion, non-union, and post-traumatic osteoarthritis.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>The treatment options for knee stiffness are mobilisation under anaesthesia (MUA) when the duration is less than 3 months, arthroscopic release when the duration is between 3 and 6 months, and open release for refractory cases or cases lasting more than 6 months. Early arthroscopic release can be associated with MUA.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Regarding treatment of acute infection, if the fracture has healed, the hardware can be removed, and lavage and debridement can be performed along with antibiotic therapy. If the fracture has not healed, the hardware is retained, and lavage, debridement, and antibiotic therapy are performed (sometimes more than once until the fracture heals). Fracture stability is important not only for healing but also for resolving the infection.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>In cases of osteomyelitis, treatment should be performed in stages: aggressive debridement of devitalised tissue and bone, antibiotic spacing and temporary external fixation until the infection is resolved (first stage), followed by definitive surgery with grafting or soft tissue coverage depending on the bone defect (second stage).<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Intra-articular or extra-articular osteotomy is a good option to correct malunion in young, active patients without significant joint damage. When malunion is associated with extensive joint involvement or the initial cartilage damage has resulted in knee osteoarthritis, the surgical option is total knee arthroplasty.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.1530\/eor-22-0004","type":"journal-article","created":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T05:28:15Z","timestamp":1659590895000},"page":"554-568","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":62,"title":["Complications of the surgical treatment of fractures of the tibial plateau: prevalence, causes, and management"],"prefix":"10.1530","volume":"7","author":[{"given":"Elena","family":"G\u00e1lvez-Sirvent","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, \u201cInfanta Elena\u201d University Hospital, Valdemoro, Madrid, Spain"},{"name":"Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aitor","family":"Ibarz\u00e1bal-Gil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, \u201cLa Paz\u201d University Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6360-0113","authenticated-orcid":true,"given":"E Carlos","family":"Rodr\u00edguez-Merch\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, \u201cLa Paz\u201d University Hospital, Madrid, Spain"},{"name":"Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research \u2013 IdiPAZ (La Paz University Hospital \u2013 Autonomous University of Madrid), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Journal of Orthopaedic Surgery and Research","article-title":"Epidemiological characterization of tibial plateau fractures","volume":"17","author":"Re\u00e1tiga Aguilar","year":"2022","unstructured":"Re\u00e1tiga Aguilar JRios XGonz\u00e1lez Edery EDe La Rosa AArzuza Ortega L. 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