Schatzker et al classified fractures of the tibia plateau based on the pattern of involvement. This can help guide the surgical management. The authors are from the University of Toronto.
Parameters:
(1) fracture plane (cleavage)
(2) downward depression
Fracture Plane
Downward Depression
Type
lateral plateau
none
I
lateral plateau
lateral plateau
II
none
lateral plateau (central)
III
medial plateau
none
IVA
comminution of medial plateau
none
IVB
none
medial plateau
IVB
comminution of medial plateau
medial plateau
IVB
lateral and medial plateaus (bicondylar)
none
V
tibial plateau fracture AND transverse or oblique fracture causing dissociation of the tibial metaphysis and diaphysis
NA
VI
where:
• A Type IV fracture (either IVA or IVB) may be combined with fractures of the tibial spines.
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