Clinico-radiological study of surgical treatment of tibial plateau fractures
Bibliographic record
Abstract
Background: Locking compression plate (LCP) systems are beneficial for treating proximal tibial fractures as they combine the benefits of external and internal fixators, providing greater stability, vascular preservation, superior healing, and fewer complications. However, the translation of these properties to functional benefits for patients remains to be elucidated. Aims: To evaluate the clinical outcomes of tibial plateau fractures (TPFs) treated by LCP and by a combination of posterior and anterior lateral approaches. Methods: This prospective study enrolled 34 patients aged > 18 years, from both genders, with TPFs (Schatzker type 4, 5, 6.) Patients were treated with minimally invasive percutaneous plate osteosynthesis (MIPPO) or open reduction and internal fixation (ORIF) by LCP. They were followed up at 6 weeks, 3 months and 6 months postoperatively. Treatment results were assessed using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results were statistically analyzed using chi-square test and Wilcoxon signed rank test. p ≤ 0.05 indicated statistical significance. Results: With a mean age of 39.29 ± 8.85 years and M:F of 33 : 1, most patients showed Schatzkers type VI fractures (82.35 %). Anterolateral approach was most used (73.53 %). Most patients achieved good results (44.12 %), showing healing within 14-20 weeks. No association was found between age-group and Schatzkers type (p > 0.05). A significant post-operative reduction in WOMAC scores was noted for total as well as component (pain, stiffness, functional limitation) scores (p < 0.001). Conclusion: LCP is associated with significant improvements in patient's experience of pain, stiffness and functional limitations.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".