Academic literature on the topic 'Schatzker's Classification'
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Journal articles on the topic "Schatzker's Classification"
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SAEED, M., M. INAM, and SU HAQ. "FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS AMONG PATIENTS WITH PROXIMAL TIBIA FRACTURES." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 891. http://dx.doi.org/10.54112/bcsrj.v2024i1.891.
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Proximal tibia fractures are complex injuries that pose significant challenges in orthopaedic surgery. Minimally invasive percutaneous plate osteosynthesis (MIPPO) has been increasingly adopted as a treatment method due to its potential benefits in reducing soft tissue damage and promoting faster recovery. Objective: To assess the functional outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) among patients with proximal tibia fractures. Methods: A prospective cohort study was conducted in a tertiary care hospital over a period of two years, from January 2021 to December 2022. Thirty-five patients presenting with proximal tibia fractures were treated using the MIPPO technique. The Schatzker classification was used to categorize the fractures. Functional outcomes were assessed using the Knee Society Score (KSS) at six months postoperatively. Data were analyzed using descriptive statistics and chi-square tests to determine the significance of outcomes. Results: The most frequent type of fracture, according to Schatzker's classification, was type I, followed by type II and type III. An excellent outcome was observed in 21 patients (60%), good outcomes in 8 patients (22.9%), fair outcomes in 5 patients (14.3%), and poor outcomes in 1 patient (2.9%). Postoperative complications included infection in 2 patients (5.7%). Conclusion: Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a safe and effective technique for managing proximal tibia fractures, yielding excellent functional outcomes in most patients.
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Christiano, Anthony V., Christian A. Pean, David N. Kugelman, Sanjit R. Konda, and Kenneth A. Egol. "Function and Knee Range of Motion Plateau Six Months following Lateral Tibial Plateau Fractures." Journal of Knee Surgery 33, no. 05 (2019): 481–85. http://dx.doi.org/10.1055/s-0039-1678676.
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AbstractThe purpose of this study is to determine when functional outcome no longer improves following tibial plateau fracture. A patient series of operatively treated tibial plateau fractures was reviewed. Patients were evaluated using the short musculoskeletal function assessment (SMFA), range of motion (ROM) assessment, and pain levels at visual analog scale (VAS) at 3, 6, and 12 months postoperatively. Fractures were classified by the Schatzker's classification using preoperative imaging. The case series was divided into two groups based on fracture patterns. Friedman's tests were conducted to determine if there were differences in SMFA, ROM, or VAS throughout the postoperative course. A total of 117 patients with tibial plateau fractures treated operatively, with complete follow-up and without complication, were identified. Seventy-seven patients (65.8%) sustained lateral tibial plateau fractures (Schatzker's I–III). Friedman's test demonstrated significant differences in SMFA (p < 0.0005) and ROM (p < 0.0005) at the three time points. Post hoc analysis demonstrated a significant difference in SMFA (p < 0.0005) and ROM (p = 0.003) between 3 and 6 months postoperatively but no significant difference in either metric between 6 and 12 months postoperatively. Friedman's test demonstrated no significant difference in VAS postoperatively (p = 0.210). Forty patients (34.2%) sustained medial or bicondylar tibial plateau fractures (Schatzker's IV–VI). Friedman's test demonstrated significant differences in SMFA (p < 0.0005) and ROM (p < 0.0005) at the three time points. Post hoc analysis demonstrated a strong trend toward significance in SMFA between 3 and 6 months postoperatively (p = 0.088), and demonstrated a significant difference between 6 and 12 months postoperatively (p = 0.013). ROM was found to be significantly different between 3 and 6 months postoperatively (p = 0.010), but no difference was found between 6 and 12 months postoperatively (p = 0.929). Friedman's test demonstrated no significant difference in VAS postoperatively (p = 0.941). In this cohort, no significant difference in function, ROM, or pain level exists between 6 and 12 months after treatment of lateral tibial plateau fractures. However, there are significant improvements in function for at least 1 year following medial or bicondylar tibial plateau fractures.
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Orestes Oluwafemi Zoffoun, Aboubacar Lawan Abdou, Saber Zari, Hicham Yacoubi, and Abdeljaouad Najib. "Assessment of intra-articular tibial plateau fractures by the three-dimensional revised Schatzker classification: Study of 94 cases." World Journal of Advanced Research and Reviews 14, no. 1 (2022): 270–76. http://dx.doi.org/10.30574/wjarr.2022.14.1.0314.
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Background: The functional outcome of tibial plateau fractures depends a lot on stable osteosynthesis. It require an exact knowledge of the spatial configuration of the fracture. Our objective is to describe fracture plane base on computer tomography. Methods: We used Schatzker's three-dimensional classification to analyze computed tomography of patients admitted for tibial plateau fractures at the University Hospital Center of Oujda between January 2012 and August 2020. Results: We found 94 fractures, mostly type II and VI with 3 unclassifiable fractures. The anterolateral compartment is the most often affected. The overall tibial plateau coronal fracture lines was 14.89% and is most common among type IV. Conclusion: Characterization of complex tibial plateau fractures with use of the main shear presented in this study may be more reliable for communication among surgeons, comparison of studies, preoperative planning and guiding the surgical approach and specific fixation techniques.
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Ilyas, Mohd, Anchal Gupta, Shwait Sharma, and Ghanshyam Dev. "Multi-detector computed tomographic evaluation of tibial plateau fractures with review of Schatzker's classification of tibial plateau fractures." Advances in Human Biology 8, no. 3 (2018): 164. http://dx.doi.org/10.4103/aihb.aihb_60_17.
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Liu, Yue, Yan Zhang, Xu Liang, Jin Shao, Zisheng Ai, and Tieyi Yang. "Relative Incidence of Proximal Fibula Fractures with Tibial Plateau Fractures: An Investigation of 354 Cases." Journal of Knee Surgery 33, no. 06 (2019): 531–35. http://dx.doi.org/10.1055/s-0039-1681045.
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AbstractWe aimed to investigate the incidence of proximal fibula fractures in patients with tibial plateau fractures and to identify risk factors for such combined injuries. From January 2011 to December 2015, 354 patients with tibial plateau fractures who had been admitted to a level 1 trauma center were retrospectively evaluated by an orthopaedic trauma surgeon and two skeletal radiologists. Anteroposterior plain radiography and computed tomography (CT) were used to characterize the injuries, and the incidence of associated proximal fibula fractures was determined. The tibial plateau fractures were classified according to the Schatzker's and three-column classifications. Associated proximal fibula fractures were simultaneously classified with a new fibula fracture classification system. Finally, we determined whether there were statistically significant associations between the presence of a proximal fibula fracture and different types of tibial plateau fractures, as well as sex and age. Proximal fibula fractures were detected in 192 (54.24%) patients using plain radiography and in 215 (60.73%) patients using CT. Logistic regression analysis indicated an increasing trend in the incidence of fibula fractures detected by the CT-based three-column classification system as follows: “age × sex > three columns > age > single posterior column > lateral column + posterior column > medial column + posterior column > medial column + lateral column > single lateral column > single medial column.” Proximal fibula fracture associated with tibial plateau fracture is a common phenomenon worthy of attention. In women, age increases the likelihood of complex tibial plateau fractures, particularly those involving the posterolateral articular surface and diaphysis, as well as the likelihood of developing proximal fibula fractures. This s Level IV diagnostic study.
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Ravi, Kumar A. S., Kiran Killi Surya, Kshirsagar Anmol, and Dixit Anuj. "Outcome of Bi-Columnar Plating in Tibial Plateau Fractures." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 93–100. https://doi.org/10.5281/zenodo.12636883.
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<strong>Background: </strong>The tibial plateau, a significant component of the knee joint, is crucial for both mobility and the transfer of weight. 1.2% of all fractures are proximal tibial fractures, whose incidence is more in 3<sup>rd</sup>& 5<sup>th</sup> decade & increasing because of high velocity road traffic accidents followed by fall from height, sport injuries etc. Tibial plateau fractures alter the knee kinematics, joint stability, and result in joint incongruity. Complex joint biomechanics, ligamentous stability, and articular congruency all have an impact on treatment results and long-term impairment. Open reduction and stable internal fixation helps in maintaining the articular congruity and restoration of the mechanical alignment which allows early mobilization of knee. <strong>Result: </strong>The study by using MODIFIED RASMUSSEN SCORE reported the functional outcome to be 70% Excellent, 23.33% Good, 3.33% Fair and 3.33% Poor results. The Radiological outcome showed 73.33% Excellent, 20% Good, 3.33% Fair and 3.33% Poor results. <strong>Conclusion:</strong> These fractures involving more than one column have excellent to good functional and radiological outcomes if articular reconstruction and stabilization with bicolumnar plating is done which allows for early mobilization of joint. Stabilization of postero-medial fragments by plating prevents subsequent varus collapse.
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Zeltser, David W., and Seth S. Leopold. "Classifications in Brief: Schatzker Classification of Tibial Plateau Fractures." Clinical Orthopaedics and Related Research® 471, no. 2 (2012): 371–74. http://dx.doi.org/10.1007/s11999-012-2451-z.
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Charalambous, CP, M. Tryfonidis, F. Alvi, et al. "Inter- and Intra-Observer Variation of the Schatzker and AO/OTA Classifications of Tibial Plateau Fractures and a Proposal of a New Classification System." Annals of The Royal College of Surgeons of England 89, no. 4 (2007): 400–404. http://dx.doi.org/10.1308/003588407x187667.
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INTRODUCTION The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker and AO/OTA classifications, using antero-posterior and lateral plain radiographs. Assessment was done on two occasions, 8 weeks apart. RESULTS We found that both the Schatzker and AO/OTA classifications have a high intra-observer (κ = 0.57 and 0.53, respectively), and inter-observer (κ = 0.41 and 0.43, respectively) variation. Classification of tibial plateau fractures into unicondylar versus bicondylar and pure splits versus articular depression ± split conferred improved inter- and intra-observer variation. CONCLUSIONS The high inter-observer variation found for the Schatzker and AO/OTA classifications must be taken into consideration when these are used as a guidance of treatment and when used in evaluating patients' outcome. Simply classifying tibial plateau fractures into unicondylar versus bicondylar and pure splits versus articular depression ± split may be more reliable.
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Pinto, Marcus Vinícius Gonçalves, Elivan de Sá Luz, Samuel Mendes de Souza, and Eduardo Soares de Oliveira. "ESTUDO OBSERVACIONAL DA CLASSIFICAÇÃO DE SCHATZKER EM FRATURAS DO PLANALTO TIBIAL." Revista ft 28, no. 138 (2024): 06–07. http://dx.doi.org/10.69849/revistaft/ma10202409131806.
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The Schatzker classification is widely used in orthopedic practice to categorize tibial plateau fractures. The objective of this observational study is to analyze the efficacy and clinical relevance of this classification, evaluating its applicability in clinical and prognostic decision-making. The records of patients with tibial plateau fractures admitted in 2023 to the orthopedic center of a public hospital in the city of Salvador, Bahia, were retrospectively analyzed. Data were collected regarding the distribution of fractures according to the Schatzker classification, correlating them with clinical variables such as age, mechanism of injury, surgical interventions, and functional outcomes. X-ray and computed tomography tools were used for a better analysis of the cases analyzed in the medical records. Comparative analysis with other classifications of tibial plateau fractures was also performed to highlight the advantages and limitations of the Schatzker classification in relation to new approaches. The preliminary results demonstrated a heterogeneous distribution of tibial plateau fractures according to the Schatzker classification, with a predominance of more common types such as type II and type VI fractures, allowing us to conclude that, through the analysis of the study, of the different types of tibial plateau fractures according to the Schatzker classification, the importance of an individualized approach in the treatment of these injuries was demonstrated. While less complex fractures (types I and III) generally respond well to conservative treatment, more complex fractures (types IV and V) often require more extensive surgical interventions. However, in the cases analyzed, the functional outcomes showed both good and excellent results.
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Koksal, Alper, Kadir Abul, Deniz Kargın, Osman Cimen, Muhammed Mert, and Abdi Keskin. "An evaluation of intra and inter observer reliability of the five used classification systems of tibial plateau fractures." Acta Orthopaedica Belgica 88, no. 4 (2022): 805–10. http://dx.doi.org/10.52628/88.4.9845.
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We aimed to evaluate the intraobserver and inter- observer variations of the five primary classification systems for assessing tibial plateau fractures via standard X-Ray, biplanar and reconstructed 3D CT images. Using anteroposterior (AP) – lateral X-Ray, and CT images, one hundred tibial plateau fractures were evaluated and classified by four surgeons according to the AO, Moore, Schatzker, modified Duparc, and 3-column classification systems. Each observer evaluated the radiographs and CT images separately – listed each time randomly – on a total of 3 occasions: with an initial evaluation, and then subsequently in weeks 4 and 8. Intra- and interobserver variabilities were assessed using the Kappa statistics. Intra- and interobserver variabilities were 0.55 ± 0.03 and 0.50 ± 0.05 for AO, 0.58 ± 0.08 and 0.56 ± 0.02 for Schatzker, 0.52 ± 0.06 and 0.49 ± 0.04 for Moore, 0.58 ± 0.06 and 0.51± 0.06 for the modified Duparc, and 0.66 ± 0.03 and 0.68 ± 0.02 for the 3-column classification. Evaluation of tibial plateau fractures using 3-column classification in conjunction with radiographic classifications has higher levels of consistency compared to radiographic classifications alone.
Dissertations / Theses on the topic "Schatzker's Classification"
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Castiglia, Marcello Teixeira. "Complementação tomográfica da classificação de Schatzker para as fraturas do planalto tibial." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/17/17142/tde-23042018-171943/.
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As fraturas do planalto tibial são lesões com um espectro muito variado de manifestação clínica. Diversos sistemas de classificação foram desenvolvidos para facilitar a compreensão e a tomada de decisões no tratamento dessas lesões. O presente estudo teve como objetivo primário avaliar o impacto da tomografia computadorizada na concordância inter e intraobservador da classificação de Schatzker. Além disso, procurou-se avaliar o impacto da tomografia computadorizada na tomada de decisões a respeito da via de acesso cirúrgico ao planalto tibial, utilizando para esta análise a classificação de Schatzker modificada por Kfuri. Um banco de dados com imagens de 70 pacientes, incluindo radiografias, tomografia computadorizada e reconstruções tridimensionais computadorizadas foi oferecido a um grupo de 10 observadores para análise. Como resultados, observou-se que a classificação de Schatzker apresentou coeficiente de concordância moderado, quando baseado no uso de radiografias (k=0,58), e substancial quando esta análise foi complementada por tomografia (k=0,62/0,64). A nova classificação de Schatzker modificada por Kfuri obteve nível moderado de concordância interobservador (k=0,53) e substancial intraobservador (k=0,63). A tomografia computadorizada, elemento básico da nova classificação, influenciou decisivamente os cirurgiões a mudarem a opção pela via de acesso cirúrgico, especialmente em fraturas com orientação no plano coronal. Como conclusão, verificou-se que a classificação de Schatzker modificada por Kfuri demonstrou substancial índice de concordância intraobservador e moderado índice de concordância intraobservador, e devem ser úteis para a prática clínica.<br>Tibial plateau fractures are lesions with a varied spectrum of clinical presentation. Several classification systems have been developed to facilitate the understanding and decision making in the treatment of these injuries. The present study aimed to evaluate the impact of computerized tomography on the inter and intraobserver correlation of the Schatzker classification. In addition, we sought to evaluate the impact of the computed tomography in the decision making regarding the surgical approaches to the tibial plateau, using the Schatzker classification modified by Kfuri for this analysis. A database of 70 patient images, including radiographs, computerized tomography, and computerized three-dimensional reconstructions were offered to a group of 10 observers for analysis. As a result we observed that the Schatzker classification presents a moderate agreement when based on radiographs (k=0,58) and substantial when this analysis is complemented by tomography (k=0,62/0,64). The new Schatzker classification modified by Kfuri has a moderate level of interobserver agreement (k=0,53) and substantial intraobserver agreement (k=0,63). Computerized tomography, a basic element of the new classification, decisively influenced surgeons to change the option for surgical access, especially in fractures with orientation in the coronal plane. In conclusion, the Schatzker classification modified by Kfuri have a substantial intraobserver and moderate interobserver correlation, and should be useful for clinical practice.
Book chapters on the topic "Schatzker's Classification"
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Mar, Winnie A., and Tyson S. Chadaz. "Knee Trauma." In Musculoskeletal Imaging Volume 1, edited by Mihra S. Taljanovic and Tyson S. Chadaz. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190938161.003.0021.
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Chapter 21 reviews the mechanism of injury and clinical features, imaging strategy, imaging characteristics, and treatment options of knee trauma, including tibial plateau fractures with description of the Schatzker classification, knee dislocation, patellar fractures, and avulsion fractures about the knee. Associated vascular injury with knee dislocation and certain tibial plateau fractures are also discussed. Concomitant ligamentous and meniscal injuries associated with avulsion fractures are described. Oblique radiographs are helpful for detecting tibial plateau fractures. CT is useful in quantifying the degree of depression in tibial plateau fractures. Certain avulsion fractures and signs about the knee are often associated with significant ligamentous injury and should be evaluated with MRI.
Conference papers on the topic "Schatzker's Classification"
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Martins, P. A., R. S. Martins, J. Quelhas Costa, et al. "Tibial Plateau Fractures: Unveiling Diagnostic Insights through the Lens of the Schatzker Classification." In 31st Annual Scientific Meeting of the European Society of Musculoskeletal Radiology (ESSR). Thieme Medical Publishers, Inc., 2024. http://dx.doi.org/10.1055/s-0044-1787491.
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