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. 2022 Jun;53(6):2207-2218.
doi: 10.1016/j.injury.2022.04.006. Epub 2022 Apr 28.

Revisiting the management of tibial plateau fractures

Joseph Schatzker  1 , Mauricio Kfuri  2
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Free article

Revisiting the management of tibial plateau fractures

Joseph Schatzker et al. Injury. 2022 Jun.
Free article

Abstract

Three-dimensional imaging has changed the understanding and management of tibial plateau fractures. In the 1970s, Schatzker proposed a classification for tibial plateau fractures, which highlighted the morphology of the six principal types. More recently, this original classification was complimented by an extended one underscoring the importance of understanding where the split wedge fragment(s) is/are located in three dimensions. The extended classification introduced the split wedge fragment and the continuity of the rim as the determinants of joint stability and the critical role that this plays in the management of tibial plateau fractures. The current manuscript re-emphasizes contemporary concepts of tibial plateau stability and depicts key issues which must be considered when planning the definitive surgical fixation of tibial plateau fractures.

Keywords: Classification; Decision making; Three-dimensional; Tibial plateau fracture; Tomography.

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Conflict of interest statement

Declaration of Competing Interest None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work.