The Orthobullets Podcast Core⎪Trauma⎪Tibial Plateau Fractures
Jan 8, 2025
A concise tour of tibial plateau fractures, covering who gets them and how they happen. They break down relevant proximal tibia anatomy and the biomechanics that guide treatment. Classification systems and imaging roles are reviewed. Surgical timing, approaches, fixation options, and common complications are highlighted through clinical cases.
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Use Schatzker To Guide Risk And Planning
- Use Schatzker classification to guide treatment: type 1–6 define split, depressed, medial, bicondylar, and metaphyseal dissociation patterns.
- Recognize medial (type 4) and type 6 carry higher soft-tissue and vascular risks.
Always Check Neurovascular Status And ABI
- Perform thorough exam including circumferential soft-tissue check, neurovascular exam and ABI if pulses asymmetric.
- If ABI <0.9, proceed to arteriography for suspected vascular injury.
CT Is Essential For Preoperative Planning
- Obtain AP, lateral, oblique knee radiographs and CT for preop planning or occult fractures.
- Posterior coronal splits are best seen on CT axial and sagittal views; get CT after ex-fix if delayed.