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.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general