Publication Name	World Journal of Orthopedics
Manuscript ID	115881
Country	Egypt

Category	Orthopedics
Manuscript Type	Systematic Reviews
Article Title	Acute total knee arthroplasty for traumatic proximal tibial fractures: A systematic review
Manuscript Source	Invited Manuscript
All Author List	Ahmed A Khalifa, Aadla Altahir, Abdullah M AL-Harbi and Raad M M Althaqafi
Funding Agency and Grant Number
Corresponding Author	Ahmed A Khalifa, Assistant Professor, FRCS, MD, Department of Orthopedic, Qena Faculty of Medicine and University Hospital, South Valley University, Kilo 6 Qena-Safaga Highway, Qena 83523, Egypt. ahmed_adel0391@med.svu.edu.eg
Key Words	Proximal tibial fracture; Tibial plateau fracture; Total knee arthroplasty; Total knee replacement; Systematic review; Outcomes
Core Tip	Managing proximal tibial fractures, particularly tibial plateau fractures, in elderly patients with osteoporotic bone and pre-existing knee osteoarthritis is challenging. This systematic review evaluated the role of acute total knee arthroplasty as a primary treatment option. Fourteen studies involving 174 patients were analyzed. Most were elderly females with total knee arthroplasty and pre-injury osteoarthritis. Posterior-stabilized implants were commonly used, often with tibial stems and metal augments. Outcomes were favorable, with a mean flexion of 110 degrees and generally good Knee Society Scores. Complications occurred in 16.7%, and revisions in 2.3%. Despite promising results, evidence quality was low, warranting larger comparative studies.
Citation	Khalifa AA, Altahir A, AL-Harbi AM, Althaqafi RMM. Acute total knee arthroplasty for traumatic proximal tibial fractures: A systematic review. World J Orthop 2026; In press

Received	2025-10-28 06:53
Peer-Review Started	2025-10-28 06:54
First Decision by Editorial Office Director	2025-11-11 09:09
Return for Revision	2025-11-11 09:09
Revised	2025-11-23 10:05
Publication Fee Transferred
Second Decision by Editor	2026-02-04 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-04 07:30
Articles in Press	2026-02-04 07:30
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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