What Schatzker types require surgical fixation?

Type I-III: may be managed conservatively if undisplaced ( 3 mm depression/displacement. Types IV-VI: almost always require ORIF or external fixation. Type VI (metaphyseal dissociation) often managed with staged approach.

What neurovascular injuries complicate high-energy tibial plateau fractures?

Peroneal nerve injury in 15-25% of lateral plateau fractures. Popliteal artery injury in 1-3% of all tibial plateaus, but 30-40% of knee dislocations with bicondylar pattern. ABI <0.9 mandates urgent CTA/arteriography.

What is the risk of post-traumatic OA after tibial plateau fracture?

Post-traumatic OA at 5-10 years: Type I-II 30-40%, Type V-VI 60-80%. Articular step-off >2-3 mm significantly increases OA risk. Age, BMI, and associated ligament injuries are compounding factors.

Schatzker Classification for Tibial Plateau Fractures

Apply Schatzker classification (Types I-VI) to tibial plateau fractures. Types I-III involve lateral plateau; IV involves medial; V and VI are bicondylar. Higher type predicts greater articular damage, neurovascular injury risk, and post-traumatic OA development.

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Schatzker Classification for Tibial Plateau Fractures

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Frequently Asked Questions

What Schatzker types require surgical fixation?

What neurovascular injuries complicate high-energy tibial plateau fractures?

What is the risk of post-traumatic OA after tibial plateau fracture?