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Optimal graft choices for tibial plateau fractures with joint depression
(Turkish Joint Diseases Foundation, 2025) Öktem, Umut; Uysal, Özgur Selim; Dastan, Muhammed Cihan; Bulut, Mustafa; Bozkurt, İbrahim; Bingöl, İzzet; Öçgüder, Durmuş Ali
This study aims to provide insight into the advantages and disadvantages of autograft and synthetic graft use in the surgical treatment of tibial plateau fractures with joint depression by comparing the clinical and radiological outcomes of both graft types. Patients and methods: Between February 2019 and September 2022, a total of 51 patients (23 males, 28 females; mean age: 45.3±13.5 years; range, 20 to 69 years) who underwent surgical treatment for Schatzker type 2 and type 3 tibial plateau fractures in our clinic were retrospectively analyzed. The patients were divided into two groups; 30 patients received autografts and 21 received tricalcium phosphate synthetic grafts. Demographic data, graft type, fracture classification, preoperative joint depression, body mass index (BMI), and smoking status were recorded. Postoperative evaluations included Lysholm and Visual Analog Scale (VAS) scores at two years.