ArticleInternational orthopaedics2022
Classification and morphology of hyperextension tibial plateau fracture.
Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 18 citations in OpenAlex.
- Morphological characteristics and clinical outcomes of proximal tibial fractures with popliteal artery injury: a retrospective case series.International orthopaedics · 2026Article
- Current concepts in the management of high-energy tibial plateau fractures: a narrative review.EFORT open reviews · 2026Review
- Proximal humerus fractures in the elderly work up, classifications and fracture biomechanics.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Efficacies of different surgical approaches in the treatment of hyperextension tibial plateau fractures.American journal of translational research · 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
- Morphology and novel classification of proximal humeral fractures.Frontiers in bioengineering and biotechnology · 2024Article
- Progress of fracture mapping technology based on CT three-dimensional reconstruction.Frontiers in bioengineering and biotechnology · 2024Review
- Rim plate in the treatment of hyperextension tibial plateau fracture: surgical technique and a series of cases.BMC musculoskeletal disorders · 2023Article
- Extension of the Medial Approach to the Tibial Plateau via an Osteotomy of the Tibial Insertion of the Superficial Medial Collateral Ligament.Journal of clinical medicine · 2023Article
- Reconstruction of a neglected hyperextension-bicondylar tibial plateau fracture 9 months after original injury and review of the literature. What outcomes can be expected?Trauma case reports · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
purposeThis study was aimed at analyzing the incidence and characteristics of hyperextension tibial plateau fractures (HTPFs) by using a computed tomography (CT)-based "four-column and nine-segment" classification.
methodsIn the coronal plane, HTPFs are divided into four types: pure hyperextension, hyperextension-varus, hyperextension-valgus, and hyperextension-bicondylar. Fractures in the sagittal plane were divided into three types: type 1, pure depression; type 2, cleavage extending to the posterior cortex with no displacement; and type 3, cleavage extending to the posterior cortex with a significant displacement. A retrospective analysis of CT images of the tibial plateau fractures from December 2007 to December 2021 was conducted. Fracture mapping was analyzed and drawn using the new classification system.
resultsA total of 136 (10.9%, 136/1253) fractures fulfilled the radiographic criteria for HTPF pattern in 136 knees (53.5 ± 13.3 years). There were 11 knees with pure hyperextension fracture (8.1%), 23 with hyperextension-varus fracture (16.9%), 46 with hyperextension-valgus fracture (33.8%), and 56 with hyperextension-bicondylar fracture (41.2%) in the coronal plane. Furthermore, there were 64 (47.1%), 47 (34.6%), and 25 (18.4%) cases of type 1, type 2, and type 3 fractures, respectively, in the sagittal plane. In the three-dimensional heat map, the fracture lines were mainly located at the anterior rim of the tibial plateau, while the posterior articular surface was rarely involved.
conclusionsThe main manifestations of HTPF are anterior compression and posterior avulsion injury. The CT-based four-column and nine-segment classification system could be used to categorize the injury characteristics of HTPF in the coronal and sagittal planes.
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