Publication Name	World Journal of Orthopedics
Manuscript ID	123916
DOI	10.5312/wjo.123916
Country	United Kingdom

Category	Orthopedics
Manuscript Type	Observational Study
Article Title	Influence of proximal cancellous bone void volume on the rigidity of tibial plateau fracture fixation: An observational study
Manuscript Source	Unsolicited Manuscript
All Author List	Tosan Okoro, T Paavana, Sophie McDonald, Panagiotis Chatzistergos, Sophie Crooks, Thivagar Murugesan, Suresh Kondi, R Needham and Nachiappan Chockalingam
Funding Agency and Grant Number	Funding Agency Grant Number AOUK & I Research Grants 2022
Corresponding Author	Tosan Okoro, Consultant, Trauma and Orthopedics, Royal Shrewsbury Hospital, Mytton oak road, Shrewsbury SY3 8XQ, United Kingdom. tosan.okoro@nhs.net
Key Words	Tibial plateau fracture; Cancellous bone void; Bone defect; Fracture fixation; Locking plate; Biomechanics
Core Tip	The biomechanical significance of metaphyseal cancellous bone loss in tibial plateau (TP) fractures remains poorly defined. Using standardized synthetic fracture models, this study demonstrated that increasing cancellous bone void volume did not significantly reduce fixation rigidity. Nevertheless, proximal bone defects exhibited greater fracture gap opening and a tendency toward reduced construct stability. Further research is required to investigate whether selective use of bone grafting or augmentation in TP fracture fixation is advisable.
Citation	Okoro T, Paavana T, McDonald S, Chatzistergos P, Crooks S, Murugesan T, Kondi S, Needham R, Chockalingam N. Influence of proximal cancellous bone void volume on the rigidity of tibial plateau fracture fixation: An observational study. World J Orthop 2026; In press DOI: https://doi.org/10.5312/wjo.123916
PDF	123916-in-press.pdf

Received	2026-06-02 09:13
Peer-Review Started	2026-06-02 09:13
First Decision by Editorial Office Director
Return for Revision	2026-07-07 06:11
Revised	2026-07-31 23:00
Publication Fee Transferred	2026-09-19 17:07
Second Decision by Editor	2026-11-05 03:30
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-11-05 07:19
Articles in Press	2026-11-05 07:19
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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