Complications Following Operative Treatment of Tibial Plateau Fracture:a Meta-analysis

Abstract：Objective To analyze the complications following the operative treatment of tibial plateau fracture through a meta-analysis. Methods A comprehensive search was conducted for all articles addressing the postoperative complications of tibial plateau fracture published in English and Chinese from January 2001 to May 2015. A proportion meta-analysis across the stud-ies was performed for the complications after operation with the use of R software. Results 24 studies,9 prospective and 15 retrospective ones,were identified. The common complications included infection,deep venous thrombosis,malreduction,joint stiffness,osteoarthritis. Their incidences were respectively 6. 3% ,[95% CI(0. 04;0. 09)];2. 5% ,[95% CI(0. 02;0. 04)];9. 3% ,[95% CI(0. 06;0. 14)];4. 4% ,[95% CI(0. 03;0. 08)];10. 2% ,[95% CI(0. 07;0. 15)]. Conclusion Since the incidences of complications like infection,deep venous thrombosis,malreduction,joint stiffness and osteoarthritis are high,they can directly affect the outcomes of the operative treatment of tibial plateau fractures. Surgeons should take active prophylactic measures during the perioperative period to reduce the operative risks.