Schatzker classification
Template:Infobox medical classification
The Schatzker classification is a system used to categorize tibial plateau fractures, which are fractures involving the upper part of the tibia or shinbone. This classification system is widely used in orthopedic surgery to help guide treatment decisions and predict outcomes.
Classification[edit | edit source]
The Schatzker classification divides tibial plateau fractures into six types based on the fracture pattern and the involvement of the articular surface.
Type I[edit | edit source]
Type I fractures are wedge-shaped, split fractures of the lateral tibial plateau. These are typically seen in younger patients with strong bone.
Type II[edit | edit source]
Type II fractures are split-depression fractures of the lateral tibial plateau. These involve both a split and a depression of the articular surface.
Type III[edit | edit source]
Type III fractures are pure depression fractures of the lateral tibial plateau. These are further divided into:
- Type IIIA: Lateral depression without a split.
- Type IIIB: Lateral depression with a split.
Type IV[edit | edit source]
Type IV fractures involve the medial tibial plateau. These fractures are often associated with high-energy trauma and may involve the posterior cruciate ligament.
Type V[edit | edit source]
Type V fractures are bicondylar fractures, involving both the medial and lateral tibial plateaus. These are often complex injuries requiring surgical intervention.
Type VI[edit | edit source]
Type VI fractures involve dissociation between the metaphysis and diaphysis of the tibia, often with significant displacement. These are high-energy injuries that may be associated with ligamentous injuries.
Clinical Significance[edit | edit source]
The Schatzker classification helps in assessing the severity of tibial plateau fractures and planning appropriate management. Treatment options may range from conservative management with casting or bracing to surgical intervention with open reduction and internal fixation (ORIF).
See Also[edit | edit source]
References[edit | edit source]
- Schatzker, J., McBroom, R., & Bruce, D. (1979). The tibial plateau fracture. The Toronto experience 1968–1975. Clinical Orthopaedics and Related Research, (138), 94-104.
External Links[edit | edit source]
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