The proximal end of the tibia terminates in a broad, flat region called the tibial plateau. Tibial plateau fractures are often associated with anterior cruciate ligament, collateral ligaments ( MCL and/or LCL), menisci and articular cartilage injuries The magnitude of the force determined the degree of fragmentation and the degree of displacement. The first three types are mostly the result of low energy injury, the three others of high energy injury. This pattern results from high-energy trauma and diverse combinations of forces. Type VI is a bicondylar fracture with a dislocation of the metaphysis from the diaphysis. Articular depression is typically seen in the lateral plateau and might be associated with a fracture of the intercondylar eminence. Type V fracture consists of a wedge fracture of the medial and lateral tibial plateau, often with an inverted “Y” appearance. Type IV fractures have the worst prognosis. These fractures occur as a result of varus forces combined with axial loading in a hyperflexed knee. Type IV is a medial tibial plateau fracture with a split or depressed component. Type III fractures are divided into two subgroups: those with lateral depression (type IIIA) and those with central depression (type IIIB). Ī Schatzker type III fracture is a pure compression fracture of the lateral tibial plateau in which the articular surface of the tibial plateau is depressed and driven into the lateral tibial metaphysis by axial forces. Type II is a fracture with a combined cleavage and compression of the lateral tibial plateau, a type I fracture with a depressed component. They are caused by the lateral femoral condyle being driven into the articular surface of the tibial plateau. Schatzker VI: tibial plateau fracture with diaphyseal discontinuity Ī type I fracture is a wedge-shaped pure cleavage fracture of the lateral tibial plateau, with a displacement or depression less than 4mm.Schatzker V: bicondylar tibial plateau fracture.Schatzker IV: medial tibial plateau fracture.Schatzker III: compression fracture of the lateral (IIIa) or central (IIIb) tibial plateau.Schatzker II: lateral tibial plateau fracture with depression.Schatzker I: lateral tibial plateau fracture without depression.It divides tibial plateau fractures into six types: The fractures are classified according to the Schatzker classification system. Early detection and appropriate treatment of these fractures are essential in minimizing patient's disability in range of movement, stability and reducing the risk of documented complications. ![]() The tibial plateau is one of the most critical load-bearing areas in the human body. Tibial plateau fractures are complex injuries of the knee.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |