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Schatzker and Luo Classifications of Tibial Plateau

Three column concept is using 3-D morphology information and injury mechanism to help us to do the decision-making for a complex tibial plateau fracture. References: Luo CF, Sun H, Zhang B, et al. Three-column fixation for complex tibial plateau fractures. J Orthop Trauma Nov;24(11): doi: /BOT.0b013e3181d436f3.

 

Schatzker Classification Summary Table

Type   Description Key Features
I Lateral Split Pure wedge fracture; typically seen in younger patients.
II Lateral Split-Depression Lateral wedge combined with articular depression; most common type.
III Lateral Pure Depression Central articular depression without a wedge; common in osteoporotic bone.
IV Medial Plateau Fracture Split or depression of the medial side; higher risk of nerve/ligament injury.
V Bicondylar Fracture Split fractures involving both medial and lateral plateaus.
VI Metaphyseal-Diaphyseal Dissociation Complete separation of the plateau from the tibial shaft; high-energy trauma.
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