Two column classification of tibial plateau fractures; description, clinical application and reliability

Injury ◽  
2019 ◽  
Vol 50 (6) ◽  
pp. 1247-1255 ◽  
Author(s):  
Adeel Anwar ◽  
Yufang Zhang ◽  
Zhi Zhao ◽  
Yanming Gao ◽  
Lin Sha ◽  
...  
Keyword(s):  
Clinical Application ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures

Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment

Radiographics ◽  
2009 ◽  
Vol 29 (2) ◽  
pp. 585-597 ◽  
Author(s):  
B. Keegan Markhardt ◽  
Jonathan M. Gross ◽  
Johnny Monu
Keyword(s):  
Mr Imaging ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Schatzker Classification

scholarly journals Inter- and Intra-Observer Variation of the Schatzker and AO/OTA Classifications of Tibial Plateau Fractures and a Proposal of a New Classification System

2007 ◽  
Vol 89 (4) ◽  
pp. 400-404 ◽  
Author(s):  
CP Charalambous ◽  
M Tryfonidis ◽  
F Alvi ◽  
M Moran ◽  
C Fang ◽  
...  
Keyword(s):  
Classification System ◽  
Tibial Plateau ◽  
Observer Variation ◽  
Tibial Plateau Fractures ◽  
New Classification ◽  
Plain Radiographs

INTRODUCTION The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker and AO/OTA classifications, using antero-posterior and lateral plain radiographs. Assessment was done on two occasions, 8 weeks apart. RESULTS We found that both the Schatzker and AO/OTA classifications have a high intra-observer (κ = 0.57 and 0.53, respectively), and inter-observer (κ = 0.41 and 0.43, respectively) variation. Classification of tibial plateau fractures into unicondylar versus bicondylar and pure splits versus articular depression ± split conferred improved inter- and intra-observer variation. CONCLUSIONS The high inter-observer variation found for the Schatzker and AO/OTA classifications must be taken into consideration when these are used as a guidance of treatment and when used in evaluating patients' outcome. Simply classifying tibial plateau fractures into unicondylar versus bicondylar and pure splits versus articular depression ± split may be more reliable.

scholarly journals New Approaches to Systematization and Treatment of Impression Monocondylar Tibial Plateau Fractures

2016 ◽  
Vol 23 (3) ◽  
pp. 16-22
Author(s):  
M. V Gilev ◽  
E. A Volokitina ◽  
Yu. V Antoniadi ◽  
S. M Kutepov
Keyword(s):  
Tibial Plateau ◽  
Main Group ◽  
Tibial Plateau Fractures ◽  
Control Group ◽  
Treatment Results ◽  
Operational Classification ◽  
Knee Contracture ◽  
Secondary Displacement ◽  
Ct Data

Treatment results for 109 patients (mean age 56 ± 1.7 years) with monocondylar impression tibial plateau fractures (ITPF) are presented. Patients from the control group (n=63) were operated on during the period from 2008 to 1010, patients from the main group (n=46) - from 2011 to 2013. Patients from the main group were treated with regard for injury localization relative to plateau center according to proposed operational classification of impression fractures (by CT data) and algorithm to choose the osteosynthesis technique depending on the anatomic and morphologic peculiarities of the intra-articular injury. In patients from the main group the evaluation by Rasmussen scale 36 months after intervention showed excellent results in 15 (38.4%), good - in 22 (56.4%), satisfactory - in 5 (12.8%) of patients, no poor results were recorded, and in patients from the control group - in 6 (11.5%), 8 (15.3%), 36 (69.3%) and 3 (5,8%) patients, respectively. Three (7.6%) complications (secondary displacement of fragments (2), knee contracture (1)) were observed in the main group, and 11 (20.9%) in the control group (20.9%) - local infectious inflammatory process (4), secondary displacement of plateau fragments (6), condylar sag (1). Perfected tactics of treatment of patients with ITPF enabled to achieve 3.48 times more excellent and good results (p

Impact of CT Scan on Treatment Plan and Fracture Classification of Tibial Plateau Fractures

1997 ◽  
Vol 11 (7) ◽  
pp. 484-489 ◽  
Author(s):  
Peter S. H. Chan ◽  
John J. Klimkiewicz ◽  
Wayne T. Luchetti ◽  
John L. Esterhai ◽  
J. Bruce Kneeland ◽  
...  
Keyword(s):  
Ct Scan ◽  
Tibial Plateau ◽  
Treatment Plan ◽  
Tibial Plateau Fractures ◽  
Fracture Classification

scholarly journals Revisiting the Schatzker classification of tibial plateau fractures

Injury ◽  
2018 ◽  
Vol 49 (12) ◽  
pp. 2252-2263 ◽  
Author(s):  
Mauricio Kfuri ◽  
Joseph Schatzker
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Schatzker Classification

AO or Schatzker? How reliable is classification of tibial plateau fractures?

2003 ◽  
Vol 123 (8) ◽  
pp. 396-398 ◽  
Author(s):  
S. Harish ◽  
C. Roberts ◽  
C. Blundell ◽  
N. P. Walton
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures

scholarly journals New Approaches to Systematization and Treatment of Impression Monocondylar Tibial Plateau Fractures

2016 ◽  
pp. 16-22
Author(s):  
M. V. Gilev ◽  
E. A. Volokitina ◽  
Yu. V. Antoniadi ◽  
S. M. Kutepov
Keyword(s):  
Tibial Plateau ◽  
Main Group ◽  
Tibial Plateau Fractures ◽  
Control Group ◽  
Treatment Results ◽  
Operational Classification ◽  
Knee Contracture ◽  
Secondary Displacement ◽  
Ct Data

Treatment results for 109 patients (mean age 56 ± 1.7 years) with monocondylar impression tibial plateau fractures (ITPF) are presented. Patients from the control group (n=63) were operated on during the period from 2008 to 1010, patients from the main group (n=46) - from 2011 to 2013. Patients from the main group were treated with regard for injury localization relative to plateau center according to proposed operational classification of impression fractures (by CT data) and algorithm to choose the osteosynthesis technique depending on the anatomic and morphologic peculiarities of the intra-articular injury. In patients from the main group the evaluation by Rasmussen scale 36 months after intervention showed excellent results in 15 (38.4%), good - in 22 (56.4%), satisfactory - in 5 (12.8%) of patients, no poor results were recorded, and in patients from the control group - in 6 (11.5%), 8 (15.3%), 36 (69.3%) and 3 (5,8%) patients, respectively. Three (7.6%) complications (secondary displacement of fragments (2), knee contracture (1)) were observed in the main group, and 11 (20.9%) in the control group (20.9%) - local infectious inflammatory process (4), secondary displacement of plateau fragments (6), condylar sag (1). Perfected tactics of treatment of patients with ITPF enabled to achieve 3.48 times more excellent and good results (p<0.05).

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