High-energy tibial plateau fracture.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of competing interest M.L.B.: No conflicts of interest P.M.: Consultant for SERF, ORTHOFIX and Newclip; member of the advisory board of Depuy Synthes; designer for XNov 4. Injury. 2022 Jun;53(6):2207-2218. doi: 10.1016/j.injury.2022.04.006. Epub 2022 Apr 28. Revisiting the management of tibial plateau fractures. Schatzker J(1), Kfuri M(2). Author information: (1)Division of Orthopedics, Sunnybrook Health Sciences Center, University of Toronto, Ontario, Canada. Electronic address: joseph.schatzker@sunnybrook.ca. (2)Department of Orthopedics, University of Missouri, Columbia, MO, United States. Electronic address: kfurim@health.missouri.edu. Three-dimensional imaging has changed the understanding and management of tibial plateau fractures. In the 1970s, Schatzker proposed a classification for tibial plateau fractures, which highlighted the morphology of the six principal types. More recently, this original classification was complimented by an extended one underscoring the importance of understanding where the split wedge fragment(s) is/are located in three dimensions. The extended classification introduced the split wedge fragment and the continuity of the rim as the determinants of joint stability and the critical role that this plays in the management of tibial plateau fractures. The current manuscript re-emphasizes contemporary concepts of tibial plateau stability and depicts key issues which must be considered when planning the definitive surgical fixation of tibial plateau fractures. Copyright © 2022. Published by Elsevier Ltd. DOI: 10.1016/j.injury.2022.04.006