The novel "four-column and nine-segment" classification will be a beneficial classification system for clinical diagnosis, statistical analysis and prognostic judgment of tibial plateau fractures. The least frequently involved segment was tubercle segment (85, 12.1%). The most frequently affected segments were the posterolateral segment (465, 66.1%), anterolateral segment (453, 64.3%) and posteromedian segment (379, 53.8%). The most frequently affected columns were lateral column (572, 81.3%) and intermedial column (524, 74.4%), and the less frequently involved columns were the medial column (219, 31.1%) and fibular column (218, 31.0%). The rates of mild, moderate and severe comminuted fractures were 50.0%, 37.5% and 12.5%. In this study, we evaluated clinical and. In the 1970s, Schatzker proposed a classification for. On average, 2.2 ± 1.0 columns and 3.6 ± 2.1 segments were involved, the mean TPII was 5.7 ± 3.0. Complex tibial plateau fractures are characterized by compression and sinking of one or both the articular surfaces. Three-dimensional imaging has changed the understanding and management of tibial plateau fractures. Orthobullets community about this case by joining the discussion and taking. The rates of one-column, two-column, three-column and all-four-column injuries were 30.5%, 31.5%, 28.0% and 9.9%, respectively. TIBIAL PLATEAU FRACTURE IN 25M HPI: A 25-year-old male presents following a. Fracture mapping was retrospectively analyzed according to the new-style classification system based on the CT imaging.ģ71 (53.2%) left knees and 321 (46.0%) right knees were injured solely and 6 (0.9%) cases sustained bilateral injuries. A total of 698 consecutive adult patients with 704 affected knees were included (377 females, 321 males, mean age 51.6 ± 12.9 years). Tibia plateau injury index (TPII) was innovatively introduced to represent the extent of injury. This study aimed to analyze the incidence and fracture characteristics of TPF using a computed tomography-based "four-column and nine-segment" classification.Īccording to the differentiated morphological characteristics, tibial plateau and proximal fibula were divided into four columns, which were subdivided into nine segments. A more comprehensive and universal classification system with the capability to analyze all patterns of TPF is urgently required to guide the clinical practice. The outcomes, complications, techniques and surgical challenges are also discussed.The existing classification systems of tibial plateau fracture (TPF) are suboptimal for clinical use and academic communication. This paper will review the literature surrounding TKA as both primary treatment and as a salvage measure in patients with fractures of the tibial plateau. In some of these patients, TKA can be considered as primary mode of treatment. In older, lower demand patients, ORIF is potentially less favorable for a variety of reasons, namely fixation failure and the need for delayed weight bearing. However, future total knee arthroplasty (TKA) is a consideration in these patients as post-traumatic osteoarthritis is a common long-term complication of tibial plateau fractures. The tibial plateau is the bony platform of the distal half of the knee joint, and is made up of a medial and lateral condyle separated by the intercondylar eminence. The presentation is dependent on the mechanism of injury. In physiologically young patients with higher demand and better bone quality, ORIF is the preferred method of treating these fractures. 17 Pubmed Journal Tibial plateau fractures are peri-articular knee fractures of the proximal tibia. While there are various treatment options for displaced tibial plateau fractures, the standard of care is open reduction and internal fixation (ORIF). Tibial plateau fractures are common injuries that occur in a bimodal age distribution.
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