Finite element analysis in tibial plateau fractures: a systematic review of literature.

In 30 seconds

This systematic review evaluated the biomechanical performance of fixation plates in tibial plateau fractures using finite element analysis. It included 31 studies, revealing a high risk of bias and significant heterogeneity in methodologies. Most studies lacked validation against clinical benchmarks, limiting their applicability in surgical decision-making.

Key findings

• Only a minority of models used subject-specific data or validated results against experimental or clinical benchmarks.
• All studies were classified as high risk of bias according to ROBFEAD criteria.
• Considerable heterogeneity was observed in material properties, boundary conditions, and meshing strategies.

Why it matters

Understanding the limitations of current finite element models is crucial for clinicians, as it highlights the need for more reliable and clinically relevant data to inform surgical decisions in treating tibial plateau fractures.