Tibial Plateau Fractures

Abstract

Tibial plateau fractures can result from direct trauma or indirect compressive forces. These injuries often result in significant soft tissue disruption, ligamentous disturbance in addition to bone fractures. Diagnostic imaging findings in plain radiographs include fat-fluid level in the suprapatellar bursa, malalignment of the femoral condyles and tibial edges, and increased trabecular density in the lateral epicondyle. Patients in whom a tibial plateau fracture is suspected with negative radiographs should have computerized tomography imaging performed. Most patients will require surgical intervention for fracture fixations. Primary long-term complication includes posttraumatic osteoarthritis because of the traumatic stress forces across the joint.

Treatment of High Energy Tibial Plateau Fractures with Hybrid External Fixation

“…The development of Ilizarov frame increased the capability of axial compression with dynamization around the fracture site with respect to the associated soft tissue injuries. The development of olive wires has offered new likelihoods to the external fixators for the management of complex fractures (7) In agreement with the present work, Jahan et al (8) performed a study on 20 patients, 13 Schatzker VI, 5 Schatzker V and 2 Schatzker IV fractures. In addition, there were 4 patients with open fractures and one patient had compartment syndrome.…”

Diagnostik – Indikationen für CT und MRT bei Tibiaplateaufrakturen

“…Das Außenband zeigt sich in bis zu 29 % der Fälle rupturiert, während sich das Innenband in 32 % der Tibiaplateaufrakturen affiziert zeigt [7]. [3,19,24].…”

Diagnosis and Treatment of Schatzker Type II Tibial Plateau Fracture with An Isolated Bone Fragment: A Case Report and Literature Review

“…Soft tissue injuries coupled with tibial plateau fractures are commonly seen in clinical practice 1 , 2 , 3 , particularly involving the structures of the lateral meniscus and the anterior cruciate ligament 2 , 4 . The more forceful mechanism of trauma bears a greater likelihood of secondary issues, particularly involving the surrounding soft tissues, and a large percentage of such injuries are in need of operative repair 5 . Multiple cadaveric investigations of tibial plateau fractures revealed a correlation between certain fracture patterns and the injury force mechanism, including the orientation of force vectors and the knee position at the time of the injury 6 , 7 , 8 , 9 .…”