Tibial plateau fractures: Fracture patterns and computed tomography evaluation of tibial plateau fractures in winter sports

Orthopedic Reviews
Philipp Jan GebelBernd Wilhelm

Abstract

The purpose was to analyze tibial plateau fractures (TPF) by computed tomography (CT) by creating a frequency map (FM). We hypothesized that a FM shows clinically important aspects of involvement that are not expressed in classic classifications. 185 TPF were retrospectively evaluated in this single center study. We created a FM onto an axial template of an intact subarticular tibial plateau and separated the joint surface in 9 areas, counted the frequency of involvement. The FM gives information of location and grade of damage and expressed three major fracture areas in 76%. 5 specific fracture types add up to 51%. The dorsal parts of the tibial plateau are involved in a higher percentage (+8%). True lateral fractures are less often than plane radiographs suggest. An impression was found in 50%. The complexity of TPFs is high, but 5 specific types could be identified in >50%. The complexity is not sufficiently covered in common classifications, especially the dorsal involvement. The FM is a simple and useful tool that complements common classifications and can be used as guideline for surgical treatment.

Citations

Jul 31, 2020·Bone & Joint Research·Xiang YaoYingqi Zhang
Sep 25, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mary Kate ErdmanGeoffrey S Marecek

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Methods Mentioned

BETA
imaging technique

Software Mentioned

SAS

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