ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017
A revised 3-column classification approach for the surgical planning of extended lateral tibial plateau fractures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Posterior tibial plateau fractures: distinguishing valgus and varus patterns to guide surgical management.International orthopaedics · 2026Review
- Holding the line: predictors of coronal and sagittal loss of reduction after tibial plateau fracture fixation.Archives of orthopaedic and trauma surgery · 2026Article
- Current concepts in the management of high-energy tibial plateau fractures: a narrative review.EFORT open reviews · 2026Review
- Posterolateral Tibial Plateau Fractures-Does Fixation Choice Matter? A Biomechanical Investigation.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Article
- Decoding tibial plateau fracture classifications: a century of individualized insights in a systematic review.EFORT open reviews · 2025Article
- Treatment of posterolateral tibial plateau fractures through the articular line approach.BMC musculoskeletal disorders · 2025Article
- The predictive role of platelet-to-lymphocyte ratio and systemic immune-inflammation index in young and middle-aged patients with tibial plateau fractures.Frontiers in surgery · 2025Article
- The Panflute Technique: Novel 3D-Printed Patient Specific Instrumentation to Guide Curved Intra-Articular Osteotomies for Tibial Plateau Malunions.Journal of clinical medicine · 2024Article
- Introduction of 3D-classification and its derived surgical sequence of Schatzker type IV tibial plateau fractures.BMC surgery · 2023Article
- 3D-validation of a simple tool to measure tibiofemoral axial rotation in tibial plateau fractures.European radiology · 2023Article
- Biomechanical study of a new rim plate fixation strategy for two kinds of posterolateral depression patterns of tibial plateau fractures: a finite element analysis.Journal of orthopaedic surgery and research · 2023Article
- Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Current concepts review. Management of proximal tibial fractures.Frontiers in surgery · 2023Review
- Radiographic detection of lateral plateau involvement in medial tibial plateau fractures (AO/OTA 41-B1.2, 1.3, 3.2 and 3.3).European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Comparison between reliability of Schatzker's classification and CT based four quadrant classification for tibial plateau fractures.Journal of clinical orthopaedics and trauma · 2022Article
- Posterior tibial plateau fracture treatment with the new WAVE posterior proximal tibia plate: feasibility and first results.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The Study of Biomechanics and Clinical Anatomy on a Novel Plate Designed for Posterolateral Tibial Plateau FracturesFrontiers in bioengineering and biotechnology · 2022Article
- The treatment of posterolateral tibial plateau fracture with a newly designed anatomical plate via the trans-supra-fibular head approach: preliminary outcomes.BMC musculoskeletal disorders · 2021Article
- Poor sporting abilities after tibial plateau fractures involving the posterior column: how can we do better?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
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3 authors.
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Abstract
objectivesVariable angle locking compression plates allow for lateral buttress and support of the posterolateral joint surface of tibial plateau fractures. This gives room for improvement of the surgical 3-column classification approach. Our aim was to revise and validate the 3-column classification approach to better guide the surgical planning of tibial plateau fractures extending into the posterolateral corner.
methodsIn contrast to the 3-column classification approach, in the revised approach the posterior border of the lateral column in the revised approach lies posterior instead of anterior of the fibula. According to the revised 3-column classification approach, extended lateral column fractures are defined as single lateral column fractures extending posteriorly into the posterolateral corner. CT-images of 36 patients were reviewed and classified twice online according to Schatzker and revised 3-column classification approach by five observers. The intraobserver reliability was calculated using the Cohen's kappa and the interobserver reliability was calculated using the Fleiss' kappa.
resultsThe intraobserver reliability showed substantial agreement according to Landis and Koch for both Schatzker and the revised 3-column classification approach (0.746 vs. 0.782 p = 0.37, Schatzker vs. revised 3-column, respectively). However, the interobserver reliability of the revised 3-column classification approach was significantly higher as compared to the Schatzker classification (0.531 vs. 0.669 p < 0.01, moderate vs. substantial agreement, Schatzker vs. revised 3-column, respectively).
conclusionsWith the introduction of variable angle locking compression plates, the revised 3-column classification approach is a very helpful tool in the preoperative surgical planning of tibial plateau fractures, in particular, lateral column fractures that extend into the posterolateral corner. The revised 3-column classification approach is rather a practical supplement to the Schatzker classification. It has a significantly higher interobserver reliability as compared to the Schatzker classification, most likely due to the more simple nature of the revised 3-column classification approach.
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