Characteristics of unilateral tibial plateau fractures among adult patients hospitalized at an orthopaedic trauma centre in China

Abstract

The aim of this study was to investigate the characteristics of unilateral tibial plateau fractures among hospitalized adult patients in Xijing Hospital, to evaluate the accuracy of Schatzker classification system and AO/OTA classification system to tibial plateau fractures. We retrospectively analysed clinical data on 274 patients admitted to Xijing Hospital between September 2006 and August 2015. The patients’ demographic characteristics, admission periods and seasons, external causes and fracture types were recorded and summarized. Then the characteristics of tibial plateau fractures and the accuracy rate of these two classification systems were analysed. Schatzker type II fractures and AO/OTA type 41-B3 fractures were the most common types. The external causes differed between genders, types of employment, urban-rural residents and both two systems. In addition, some fractures were difficult to classify using Schatzker or AO/OTA classification system. Rural male physical labourers aged between 30–59 years-old were most likely to suffer from unilateral tibial plateau fractures, due to traffic accidents, falls and indoor activity injuries, or falls from height. We should pay more attention to the related people and professions, which contributed to the high occurrence of tibial plateau fractures. Besides that, further improvements are required for both Schatzker and AO/OTA classification systems.

Effect of structural support size and position on depressed tibial plateau fractures: A finite element analysis

“…Additionally, accounting for the fluid microenvironment surrounding the fragment post-surgery, the surfaces between the fragments and between the bone and the support were defined to have frictional contact and the friction coefficient was defined as 0.2 [ 21 ]. As the support is typically implanted by tamping technique in actual clinical scenarios [ 22 ], the lower surface of the filler is not supported by the bone. For this reason, we did not set the contact relationship between the lower surface of the support and the underlying bone to match the real surgical scenario.…”

Neutrophil to lymphocyte ratio and fracture severity in young and middle-aged patients with tibial plateau fractures

“…The classification results were uniformly recorded by the person who was not involved in the classification. According to the literature, Schatzker types I through IV are simple TPFs, while types V through VI are complex fractures [1]. Therefore, we divided all the patients into two groups: group 1 was defined as mild and moderate TPFs and included patients with Schatzker type I-IV fractures; group 2 was defined as severe TPFs and included patients with Schatzker type V-VI fractures.…”

“…Tibial plateau fractures (TPFs), a type of intra-articular fracture, represent approximately 1.2% of all fractures. TPFs involve the proximal end of the tibia and seriously affect the alignment, stability, and movement of the knee [1][2][3]. Patients with TPFs have been found to show evidence of intraosseous trabecular disruption, medullary bone oedema, and haemorrhage.…”

Plate-screw and screw-washer stability in a Schatzker type-I lateral tibial plateau fracture: a comparative biomechanical study

“…L ateral split fragment with or without comminution corresponds approximately to 40.0 to 45.0% of all tibial plateau fractures [1][2][3] . In this demographic distribution, Schatzker type-I tibial plateau fracture is far less common, accounting for only 3.5 to 9.0% of these injuries [1][2][3] . This particular tibial plateau fracture type is usually observed in the younger population, mainly due to a denser cancellous bone which resists impaction 4 .…”

“…These patients are most likely to suffer traffic accidents and sport injuries, which cause a combination of axial and valgus loading forces leading to a shearing displacement of the lateral tibial condyle 2,5 . Normally the knee is extended or semi-extended, which makes an anterolateral (AL) fragment much more common than a posterolateral one 1 .…”