{
  "abstract": "Objective: To systematically compare the efficacy and safety of arthroscopy-assisted reduction and percutaneous internal fixation (ARIF) versus open reduction and internal fixation (ORIF) for Schatzker type I-III tibial plateau fractures.\n\nMethods: A comprehensive literature search was conducted across PubMed, Embase, Cochrane Library, Web of Science, and CNKI up to November 2025. Randomized controlled trials (RCTs) comparing ARIF with ORIF were included. Data on functional outcomes and complication rates were extracted and pooled using random-effects models. The Cochrane Risk of Bias tool and GRADE approach were used for quality assessment.\n\nResults: Eighteen RCTs involving 1, 346 patients were included. Pooled analysis demonstrated that ARIF was associated with significantly superior excellent-good functional outcomes (OR = 3.14, 95%CI: 2.02–4.88, p < 0.001) and substantially reduced perioperative complication rates (OR = 0.27, 95%CI: 0.18–0.40, p < 0.001) compared to ORIF.\n\nConclusion: For Schatzker type I-III tibial plateau fractures, ARIF provides superior functional recovery and significantly lower complication rates compared to ORIF. As a result, ARIF represents a favorable treatment option for these fracture patterns.\n\nSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s13018-026-07121-7.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Joint Surgery/Osteoporosis, The Third Affiliated Hospital of Jiaxing University ( Zhejiang Rongjun Hospital ), Jiaxing City, 314031 Zhejiang Province China",
    "Department of Pediatric Orthopedics /Hand and Foot Surgery, The Second Affiliated Hospital of University of South China, Hengyang City, 421099 Hunan Province China",
    "Department of Spinal Surgery/Sports Medicine Center, The Third Affiliated Hospital of Jiaxing University ( Zhejiang Rongjun Hospital ), No. 309 Shuangyuan Road, Nanhu District, Jiaxing City, 314031 Zhejiang Province China"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ming Lai"
    },
    {
      "affs": [
        1
      ],
      "name": "Zelin Huang"
    },
    {
      "affs": [
        0
      ],
      "name": "Wei Zhao"
    },
    {
      "affs": [
        0
      ],
      "name": "Lilu Peng"
    },
    {
      "affs": [
        0
      ],
      "name": "Yunhai Liu"
    },
    {
      "affs": [
        2
      ],
      "name": "Penglei Yan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7nrex871xpgz6.bib",
  "cited_by": 0,
  "doi": "10.1186/s13018-026-07121-7",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13715268/",
  "id": "7nrex871xpgz6",
  "issns": [
    "1749-799X"
  ],
  "landing_url": "https://doi.org/10.1186/s13018-026-07121-7",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2713|Bone fractures and treatments"
    ]
  ],
  "openalex": "W7171984020",
  "pdf_url": null,
  "pmcid": "PMC13715268",
  "pmid": "42947221",
  "published": "2026-07-31",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/7nrex871xpgz6.ris",
  "sources": [
    {
      "first_seen": "2026-11-01T12:22:37Z",
      "native_id": "PMC13715268",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s13018-026-07121-7"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Bone fractures and treatments",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Arthroscopic versus open reduction and internal fixation for tibial plateau fractures: a meta-analysis",
  "title_text": "Arthroscopic versus open reduction and internal fixation for tibial plateau fractures: a meta-analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:22:37Z",
  "url": "https://research.draconitic.com/paper/7nrex871xpgz6",
  "venue": "Journal of Orthopaedic Surgery and Research",
  "versions": []
}