Wahlquist et al developed a simple classification for fractures of the medial tibial plateau. This can help to identify fractures which may have serious neurovascular complications. The authors are from the University of Toledo in Ohio.
Patient selection: wedge fracture of the medial tibial plateau with the inferior tip along the medial aspect of the tibia
Location of Lateral Fracture Margin
Type
medial to the intercondylar spines
A
within the intercondylar spines
B
lateral to the intercondylar spines
C
Type
Compartment Syndrome
Meniscal Tear
Neurologic or Vascular Injury
A
14%
may be present
none
B
33%
may be present
none
C
67%
rare
may be present
A patient with a Type C fracture should be carefully evaluated for neurovascular injury that may require emergency surgery.
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