ArticleJournal of orthopaedic surgery and research2019
Retrospective analysis of 514 cases of tibial plateau fractures based on morphology and injury mechanism.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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25 citing papers in PubMed, 41 citations in OpenAlex.
- Epidemiology and outcomes of tibial plateau fractures involving the medial plateau : a comparative analysis of AO type B and C injuries.Bone & joint open · 2026Article
- Medial Tibial Plateau Fractures and Fracture-Dislocations: A Mechanism-Based Narrative Review of Instability Patterns, Imaging, and Contemporary Management.Orthopedic reviews · 2026Article
- Medical and Legal Risks in Tibial Plateau Fractures.Clinical practice and cases in emergency medicine · 2025Article
- Decoding tibial plateau fracture classifications: a century of individualized insights in a systematic review.EFORT open reviews · 2025Article
- Triple-incision treatment of the posterior condylar triad in the lateral prone position.BMC musculoskeletal disorders · 2025Article
- Joint line rim-plate combined with horizontal belt plate in the treatment of hyperextension tibial plateau fracture: our clinical and radiological results.Frontiers in surgery · 2025Article
- Surgical treatment of AO/OTA 41B3 and 41C tibial plateau fractures with a temporary bi-frame fixator combined with the MIPPO technique.BMC musculoskeletal disorders · 2024Article
- 3D-printed model is a useful addition in orthopedic resident education for the understanding of tibial plateau fractures.Scientific reports · 2024Article
- Schatzker IV tibial plateau fractures: are they always unicondylar?OTA international : the open access journal of orthopaedic trauma · 2024Article
- A Unique Upside-down Flip-lid Type of Lateral Tibial Plateau Fracture Fragment in a Bicondylar Tibial Plateau Fracture Managed with Dual Plates and Raft Screws.Journal of orthopaedic case reports · 2024Article
- Tibial plateau fracture morphology based on injury force mechanism is predictive for patient-reported outcome and conversion to total knee arthroplasty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Incidence and Characteristics of Knee Ligament and Meniscal Injuries in Patients With Posterolateral Tibial Plateau Fractures.Orthopaedic journal of sports medicine · 2024Article
- An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach.BMC musculoskeletal disorders · 2024Article
- Does the Schatzker III Tibial Plateau Fracture Exist?Indian journal of orthopaedics · 2023Article
- Correlation of preoperative CT imaging shift parameters of the lateral plateau with lateral meniscal injury in Schatzker IV-C tibial plateau fractures.BMC musculoskeletal disorders · 2023Article
- Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases.BMC musculoskeletal disorders · 2023Article
- Changing patterns in the epidemiology of tibial plateau fractures: a 10-year review at a level-I trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Biomechanical analysis of internal fixation system stability for tibial plateau fractures.Frontiers in bioengineering and biotechnology · 2023Article
- Tibial plateau fractures: three dimensional fracture mapping and morphologic measurements.International orthopaedics · 2022Article
- Flexion Tibial Plateau Fractures: 3-dimensional CT Simulation-based Subclassification by Injury Pattern.Orthopaedic surgery · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTibial plateau fractures remain a clinical challenge due to the complexity of the fracture patterns which have been repeatedly categorized by many researchers. However, limitations do exist in some respects. So we aimed to reclassify tibial plateau fractures based on injury mechanism and morphological characteristics.
methodsFive hundred fourteen cases of tibial plateau fractures were enrolled. The X-rays and CT scans were analyzed.
resultsAccording to our observation and analysis, tibial plateau fractures can be categorized into the following six types: (1) Lateral condylar fractures (axial force applied while knee extending in valgus position). Two hundred fifty-one cases were included (48.83%). (2) Fracture dislocation (multiple forces especially rotational stress while knee extending). Fifty-five out of 514 cases belong to this pattern (10.70%). Correction of the subluxation remains primary and crucial during surgical procedures. (3) Simple medial condylar fractures (axial force applied while knee extending in varus position). One third of which were associated with an avulsion fracture of fibular head. Fifteen cases were included (2.92%). (4) Bicondylar fractures (axial forces applied while knee extending). One hundred twelve cases were included (21.79%). Surgical algorithm greatly depends on soft tissue conditions. (5) Posterior condylar fractures (axial stress applied while knee flexing). Sixty-five cases were seen in our study (12.65%), most of which were associated with an avulsion fracture of the intercondylar eminence (49/65, 75.38%). The fracture of posteromedial part, posterolateral part, and intercondylar eminence forms a unique pattern of injury defined as "Posterior Condylar Triad." (6) Anterior condylar compression fractures (axial, varus, or valgus forces applied while knee overextending). Posterior structural complexes, crucial ligaments, or even popliteal arteries are prone to be damaged. Sixteen cases were identified (3.11%).
conclusionOur classification system has instructive significance in overall preoperative evaluation of fracture features and soft tissue problems as well as guiding clinical management for better functional outcomes.
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