CT classifications of tibial plateau fractures
10.3760/cma.j.issn.1671-7600.2020.02.019
- VernacularTitle:胫骨平台骨折CT分类的研究
- Author:
Zhiyong ZHOU
1
;
Zhenhai WANG
;
Sunjun HU
;
Shimin ZHANG
Author Information
1. 山东烟台市烟台山医院骨科 264001
- From:
Chinese Journal of Orthopaedic Trauma
2020;22(2):180-184
- CountryChina
- Language:Chinese
-
Abstract:
Current classifications of tibial plateau fractures include three-pillar classification, four-quadrant classification, eight-segment classification, ten-segment classification, and four-column & nine-segment classification. This article reviews the various CT classifications of tibial plateau fractures, their advantages and disadvantages and surgical approaches as well. The essence of the CT classifications is to pay more attention to the coronary fracture line, especially the posterior coronal fracture fragments. A classification which combines the four-quadrant idea of the articular surface of the tibial plateau with the four-column idea of the peripheral cortex of the tibial plateau, and is supplemented by descriptions of non-articular surface structures (intercondylar spine, tibial tubercle and fibula head), may provide a more comprehensive understanding of a specific tibial plateau fracture, but may therefore be too complicated and difficult to use clinically due to too many combinations that need matching.
