Medial tibial plateau fractures: a new classification system

The Journal of Trauma
Marc WahlquistJason Levine

Abstract

: Fractures of the medial plateau are associated with significant soft tissue injuries. A predictive measure of which medial plateau fractures are at higher risk of associated injuries has not been described. The authors propose a simple classification that is both easy to remember, recognize, and predictive of associated injuries. A type A fracture is where the fracture line is medial to the intercondylar spines, a type B is where the fracture line is within the intercondylar spines, and a type C fracture is where the fracture line is lateral to the intercondylar spines. : All patients treated at a Level I trauma center for tibial plateau fractures between 1998 and 2005 were identified. The radiographs of these patients were reviewed, and 28 patients were included in the study. The medical charts were then reviewed, and any associated injuries were noted. The patients were placed into one of three groups based on their fracture pattern. : Of the seven type A fractures, there was one patient with compartment syndrome (14%) and another with an ACL tear and medial meniscal tear. Of the 12 type B fractures, there were four patients with compartment syndrome (33%) and one with an ACL avulsion and medial meniscal tear. Of the nine t...Continue Reading

References

Jan 1, 1994·Journal of Orthopaedic Trauma·W F Bennett, B Browner
Nov 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Antony R Boody, Montri D Wongworawat

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Citations

Oct 15, 2011·Archives of Orthopaedic and Trauma Surgery·Yves P AcklinChristoph Sommer
Mar 5, 2013·Journal of Orthopaedic Trauma·Bruce H Ziran, Stephen John Becher
May 22, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·H CiftF Eksioglu
Aug 24, 2016·Geriatric Orthopaedic Surgery & Rehabilitation·Joshua C RozellDerek J Donegan
Apr 2, 2009·The Journal of Bone and Joint Surgery. British Volume·V MusahlH-C Pape
Nov 19, 2019·Journal of Orthopaedic Trauma·Lucas S MarchandJustin M Haller
Jun 30, 2012·Clinical Orthopaedics and Related Research·David W Zeltser, Seth S Leopold
Feb 26, 2016·Journal of Orthopaedic Trauma·Christopher AllmonRobert V OʼToole
Apr 23, 2016·Journal of Orthopaedic Trauma·Reza FiroozabadiDavid Barei
Apr 14, 2017·International Orthopaedics·Angélica Millán-BilliPablo Eduardo Gelber
Jul 31, 2020·Bone & Joint Research·Xiang YaoYingqi Zhang
Jul 25, 2020·Archives of Orthopaedic and Trauma Surgery·Bingshan YanWangping Yin

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