Tibial plateau fracture classification: Difference between revisions

	Tibial plateau fracture Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Tibial plateau fracture from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Tibial plateau fracture classification On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Tibial plateau fracture classification All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Tibial plateau fracture classification
CDC on Tibial plateau fracture classification
Tibial plateau fracture classification in the news
Blogs on Tibial plateau fracture classification
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Tibial plateau fracture classification

VisualWikitext

Revision as of 21:10, 5 February 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview

There are multiple classifications available for tibial plateau fracture. The most common classification systems for tibial plateau fracture include Schatzker, Hohl and Moore, Luo's three column concept and AO classification.

Classification

There are multiple classifications available for tibial plateau fracture. The most common classification systems for tibial plateau fracture include Schatzker, Hohl and Moore, Luo's three column concept and AO/OTA classification.^[1]^[2]

Schatzker Classification

Schatzker classification is the most commonly used classification for tibial plateau fracture.^[3]

Schatzker Classification
Type I	Lateral split fracture
Type II	Lateral Split-depressed fracture
Type III	Lateral Pure depression fracture
Type IV	Medial plateau fracture
Type V	Bicondylar fracture
Type VI	Metaphyseal-diaphyseal dissociation

Hohl and Moore Classification

Hohl and Moore classification of tibial plateau fracture is useful for fracture dislocation, fracture patterns that cannot be classified by Schatzker classification and fractures associated with knee instability.^[4]

Hohl and Moore Classification
Type I	Coronal split fracture
Type II	Entire condylar fracture
Type III	Rim avulsion fracture of lateral plateau
Type IV	Rim compression fracture
Type V	Four-part fracture

Luo's Three Column Classification

Luo's classified tibial plateau fracture based on computed tomography ‘‘three column fixation’’ concept which aided in column-specific fixation technique.^[5]

Luo's Three Column Classification
Zero-column fracture	Pure articular depression
1 Column fracture	Lateral column fracture
2 Column fracture	Lateral and posterior column fracture
3 Column fracture	Bicondylar fracture dividing into three fragments

OTA System

AO/ASIF classification is also a widely accepted classification.^[6]
Proximal tibia is given the number 41 based on the classification.
It is further subdivided as:

OTA System
A	Extra-articular fractures
	A1	Avulsion
	A2	Metaphyseal simple
	A3	Metaphyseal multifragmentary
B	Partial articular fractures
	B1	Pure split
	B2	Pure depression
	B3	Split depression
C	Complete articular fractures
	C1	Articular simple + metaphyseal simple
	C2	Articular simple, metaphyseal multifragmentary
	C3	Articular multifragmentary

References

↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
↑ Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.
↑ Schatzker J, McBroom R, Bruce D (1979). "The tibial plateau fracture. The Toronto experience 1968--1975". Clin Orthop Relat Res (138): 94–104. PMID 445923.
↑ Hohl M, Moore TM. Articular fractures of the proximal tibia. In: Evarts CM, editor. Surgery of the musculoskeletal system. 2nd ed., New York: Churchill Livingstone; 1990.
↑ Luo CF, Sun H, Zhang B, Zeng BF (2010). "Three-column fixation for complex tibial plateau fractures". J Orthop Trauma. 24 (11): 683–92. doi:10.1097/BOT.0b013e3181d436f3. PMID 20881634.
↑ ME Muller, S Nazarian, P Koch. Classification AO des fractures. 1 Les os longs. Springler-Verlag, Berlin, 1987.

Template:WH Template:WS

[1] Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.

[2] Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.

[pmid445923-3] Schatzker J, McBroom R, Bruce D (1979). "The tibial plateau fracture. The Toronto experience 1968--1975". Clin Orthop Relat Res (138): 94–104. PMID 445923.

[4] Hohl M, Moore TM. Articular fractures of the proximal tibia. In: Evarts CM, editor. Surgery of the musculoskeletal system. 2nd ed., New York: Churchill Livingstone; 1990.

[pmid20881634-5] Luo CF, Sun H, Zhang B, Zeng BF (2010). "Three-column fixation for complex tibial plateau fractures". J Orthop Trauma. 24 (11): 683–92. doi:10.1097/BOT.0b013e3181d436f3. PMID 20881634.

[6] ME Muller, S Nazarian, P Koch. Classification AO des fractures. 1 Les os longs. Springler-Verlag, Berlin, 1987.

[1]

[2]

[3]

[4]

[5]

[6]

@@ Line 5: / Line 5: @@
 ==Overview==
-There are multiple classifications available for tibial plateau fracture. The most common classification systems for tibial plateau fracture include Schatzker, Hohl and Moore, Luo's three column concept and AO classification.
+There are multiple [[Classification|classifications]] available for tibial plateau fracture. The most common classification systems for tibial plateau fracture include Schatzker, Hohl and Moore, Luo's three column concept and AO [[classification]].
 ==Classification==
-There are multiple classifications available for tibial plateau fracture. The most common classification systems for tibial plateau fracture include Schatzker, Hohl and Moore, Luo's three column concept and AO/OTA classification.<ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref><ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323374620 }}</ref>
+There are multiple [[Classification|classifications]] available for tibial plateau fracture. The most common [[classification]] systems for tibial plateau fracture include Schatzker, Hohl and Moore, Luo's three column concept and AO/OTA [[classification]].<ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref><ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323374620 }}</ref>
 ===Schatzker Classification===
@@ Line 22: / Line 22: @@
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type I
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral split fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral split [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" | Type II
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral Split-depressed fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral Split-depressed [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type III
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral Pure depression fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral Pure depression [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type IV
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Medial plateau fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Medial plateau [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type V
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Bicondylar fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Bicondylar [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type VI
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Metaphyseal-diaphyseal disassociation
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Metaphyseal-diaphyseal [[Dissociation (chemistry)|dissociation]]
 |}
 ===Hohl and Moore Classification===
-* Hohl and Moore classification of tibial plateau fracture is useful for fracture dislocation, fracture patterns that cannot be classified by Schatzker classification and fractures associated with knee instability.<ref>Hohl M, Moore TM. Articular fractures of the proximal tibia. In: Evarts CM, editor. Surgery of the musculoskeletal system. 2nd ed., New York: Churchill Livingstone; 1990. </ref>
+* Hohl and Moore [[classification]] of tibial plateau fracture is useful for [[fracture]] [[dislocation]], [[fracture]] patterns that cannot be classified by Schatzker [[classification]] and [[fractures]] associated with [[Instability|knee instability]].<ref>Hohl M, Moore TM. Articular fractures of the proximal tibia. In: Evarts CM, editor. Surgery of the musculoskeletal system. 2nd ed., New York: Churchill Livingstone; 1990. </ref>
 {| class="wikitable"
@@ Line 47: / Line 47: @@
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type I
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Coronal split fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Coronal split [[fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type II
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Entire condylar fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Entire condylar [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type III
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Rim avulsion fracture of lateral plateau
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Rim avulsion [[Bone fracture|fracture]] of lateral plateau
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type IV
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Rim compression fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Rim compression [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |Type V
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Four-part fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Four-part [[Bone fracture|fracture]]
 |}
 ===Luo's Three Column Classification===
-* Luo's classified tibial plateau fracture  based on computed tomography ‘‘three column fixation’’ concept which aided in  column-specific fixation technique.<ref name="pmid20881634">{{cite journal| author=Luo CF, Sun H, Zhang B, Zeng BF| title=Three-column fixation for complex tibial plateau fractures. | journal=J Orthop Trauma | year= 2010 | volume= 24 | issue= 11 | pages= 683-92 | pmid=20881634 | doi=10.1097/BOT.0b013e3181d436f3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20881634  }} </ref>
+* Luo's [[Classification|classified]] tibial plateau fracture  based on [[computed tomography]] ‘‘three column fixation’’ concept which aided in  column-specific [[fixation]] technique.<ref name="pmid20881634">{{cite journal| author=Luo CF, Sun H, Zhang B, Zeng BF| title=Three-column fixation for complex tibial plateau fractures. | journal=J Orthop Trauma | year= 2010 | volume= 24 | issue= 11 | pages= 683-92 | pmid=20881634 | doi=10.1097/BOT.0b013e3181d436f3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20881634  }} </ref>
 {| class="wikitable"
@@ Line 72: / Line 72: @@
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |1 Column fracture
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral column fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral column [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |2 Column fracture
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral and posterior column fracture
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Lateral and posterior column [[Bone fracture|fracture]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |3 Column  fracture
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Bicondylar fracture dividing into three fragments
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |Bicondylar [[Bone fracture|fracture]] dividing into three fragments
 |}
-*
 ===OTA System===
-*AO/ASIF  classification is also a widely accepted classification.<ref>ME Muller, S Nazarian, P Koch. Classification AO des fractures. 1 Les os longs. Springler-Verlag, Berlin, 1987.</ref>
+*AO/ASIF  [[classification]] is also a widely accepted [[classification]].<ref>ME Muller, S Nazarian, P Koch. Classification AO des fractures. 1 Les os longs. Springler-Verlag, Berlin, 1987.</ref>
-*Proximal tibia is given the number 41 based on the classification.
+*Proximal [[tibia]] is given the number 41 based on the classification.
 *It is further subdivided as:
@@ Line 90: / Line 89: @@
 |-
 | rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |A
-| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Extra-articular fractures
+| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Extra-articular [[Bone fracture|fractures]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |A1
@@ Line 102: / Line 101: @@
 |-
 | rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |B
-| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;"  |Partial articular fractures
+| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Partial articular [[Bone fracture|fractures]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |B1
@@ Line 114: / Line 113: @@
 |-
 | rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |C
-| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Complete articular fractures
+| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Complete articular [[Bone fracture|fractures]]
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |C1
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Articular simple + [[metaphyseal]] simple
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Articular]] simple + [[metaphyseal]] simple
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |C2
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Articular simple, [[metaphyseal]] multifragmentary
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Articular]] simple, [[metaphyseal]] multifragmentary
 |-
 | style="background: #4479BA; color: #FFFFFF; text-align: center;" |C3
-| style="background: #F5F5F5; padding: 5px; text-align: center;" |Articular multifragmentary
+| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Articular]] multifragmentary
 |}