Wang et al2525 Wang Y, Luo C, Zhu Y, et al. Updated Three-Column Concept in surgical treatment for tibial plateau fractures - A prospective cohort study of 287 patients. Injury 2016;47(07):1488-1496 (2016) |
Several |
I, II, III |
_______ |
8 weeks |
12 weeks |
____________ |
Thewlis et al2323 Thewlis D, Callary SA, Fraysse F, Solomon LB. Peak loading during walking is not associated with fracture migration following tibial plateau fracture: A preliminary case series. J Orthop Res 2015;33(09):1398-1406 (2015) |
ORIF (plate) |
I, II, III, IV, V |
POi |
2 w eeks |
12 weeks |
Radiological evidence |
Benea et al2121 Benea H, Tomoaia G, Martin A, Bardas C. Arthroscopic management of proximal tibial fractures: technical note and case series presentation. Clujul Med 2015;88(02):233-236 (2015) |
ORIF (arthroscopic reduction and internal fixation) |
I, III |
_______ |
8 weeks |
12 weeks |
Radiological evidence |
Chen et al77 Chen HW, Chen CQ, Yi XH. Posterior tibial plateau fracture: a new treatment-oriented classification and surgical management. Int J Clin Exp Med 2015;8(01):472-479 (2015) |
ORIF (plate and screw) |
I, II, III, IV, V |
_______ |
12 weeks |
|
Radiological evidence |
Giannotti et al2626 Giannotti S, Giovannelli D, Dell'Osso G, et al. Angular stable plates in proximal meta-epiphyseal tibial fractures: study of joint restoration and clinical and functional evaluation. Musculoskelet Surg 2016;100(01):15-18 (2016) |
ORIF (plate) |
I, II, IV, V, VI |
_______ |
5-6 weeks |
________ |
As tolerable. |
Spanish et al1717 Spagnolo R, Pace F. Management of the Schatzker VI fractures with lateral locked screw plating. Musculoskelet Surg 2012;96(02):75-80 (2011) |
Internal fixation (LISS/ZPLT) |
VI |
_______ |
10-12 weeks |
16 weeks |
Bone callus Metaphysis |
Malakasi et al66 Malakasi A, Lallos SN, Chronopoulos E, Korres DS, Efstathopoulos NE. Comparative study of internal and hybrid external fixation in tibial condylar fractures. Eur J Orthop Surg Traumatol 2013;23(01):97-103 (2013) |
Hybrid ORIF/CREF |
I, II, III, IV, V, VI |
_______ |
ORIF: 9.8w Hybrid CREF: 12.9 W |
________ |
Radiological evidence |
Solomon et al2020 Solomon LB, Callary SA, Stevenson AW, Mc Gee MA, Chehade MJ, Howie DW. Weight-bearing-induced displacement and migration over time of fracture fragments following split depression fractures of the lateral tibial plateau: a case series with radiostereometric analysis. J Bone Joint Surg Br 2011;93(06):817-823 (2011) |
ORIF (plate and screw) |
II |
_______ |
POi |
6 weeks |
Radiological evidence |
Gupta et al99 Zahid M, Sherwani MKA , Siddiqui YS, Abbas M, Asif N, Sabir AB. The role of the JESS (Joshi's external stabilization system) fixator in the management of tibial plateau fractures which are associated with severe soft tissue injuries. J Clin Diagn Res 2010;4:3356-3361 (2010) |
JESS and percutaneous screw |
V, VI |
_______ |
12 weeks |
13-19 weeks |
Radiological evidence (cortical and deviation) |
Mahajan et al1919 Mahajan N. Evaluation of results of various operative method in the management of tibial plateau fractures in adults. JK Science. 2009;11(01):27-30 (2009) |
Several |
I, II, III, IV, V, VI |
_______ |
8 weeks |
________ |
Radiological evidence |
Duan et al1818 Duan XJ, Yang L, Guo L, Chen GX, Dai G. Arthroscopically assisted treatment for Schatzker type I-V tibial plateau fractures. Chin J Traumatol 2008;11(05):288-292 (2008) |
ORIF + arthroscopy |
I, II, III, IV, V |
POi (brace) |
8 weeks |
12 weeks |
____________ |
Kayali et al1010 Kayali C, Oztürk H, Altay T, Reisoglu A, Agus H. Arthroscopically assisted percutaneous osteosynthesis of lateral tibial plateau fractures. Can J Surg 2008;51(05):378-382 (2008) |
Percutaneous screw + arthroscopy |
I, II, III |
_______ |
6 weeks |
10 weeks |
Radiological evidence. |
Venkatesh et al1414 Venkatesh R. Minimal invasive techniques in the management of tibial plateau fractures. Curr Orthop 2006;20:411-417 (2006) |
Arthroscopy and percutaneous screws |
I, II, III, IV, V, VI |
_______ |
_______ |
6 weeks |
___________ |
Faldini et al88 Faldini C, Manca M, Pagkrati S, et al. Surgical treatment of complex tibial plateau fractures by closed reduction and external fixation. A review of 32 consecutive cases operated. J Orthop Traumatol 2005;6(04):188-193 (2005) |
Hybrid CREF |
VI |
_______ |
POi |
8-12 weeks |
Radiological evidence. |
Ali et al2424 Ali AM, Burton M, Hashmi M, Saleh M. Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system. J Bone Joint Surg Br 2003;85(05):691-699 (2003) |
Circular CREF and percutaneous screw |
V, VI |
POi |
3 weeks |
3-6 weeks |
As tolerable. |
Horstmann et al1212 Horstmann WG, Verheyen CC, Leemans R. An injectable calcium phosphate cement as a bone-graft substitute in the treatment of displaced lateral tibial plateau fractures. Injury 2003;34(02):141-144 (2003) |
Calcium phosphate cement/percutaneous screw/plate |
II, III, VI |
PO2 |
2-6 weeks |
6-12 weeks |
Radiological evidence |
Van Glabbeek et al1515 van Glabbeek F, van Riet R, Jansen N, D'Anvers J, Nuyts R. Arthroscopically assisted reduction and internal fixation of tibial plateau fractures: report of twenty cases. Acta Orthop Belg 2002;68(03):258-264 (2002) |
Internal fixation via arthroscopy |
I, II, IV, V |
---------- |
6 weeks |
8 weeks |
-------------- |
Larson et al2727 Larsson S, Bauer TW. Use of injectable calciumphosphate cement for fracture fixation: a review. Clin Orthop Relat Res 2002;(395):23-32 (2002) |
Calcium phosphate Cement and ORIF |
Review |
______ |
_______ |
6 weeks |
Radiological evidence |
Lobenhoffer et al1313 Lobenhoffer P, Gerich T, Witte F, Tscherne H. Use of an injectable calciumphosphate bone cement in the treatment of tibial plateau fractures: a prospective study of twenty-six cases with twentymonth mean follow-up. J Orthop Trauma 2002;16(03):143-149 (2002) |
Calcium phosphate Cement and ORIF |
I, II, III, VI |
_______ |
PO2 |
________ |
I, II, III: 2w. VI: 6w. |
Kiefer et al1111 Kiefer H, Zivaljevic N, Imbriglia JE. Arthroscopic reduction and internal fixation (ARIF) of lateral tibial plateau fractures. Knee Surg Sports Traumatol Arthrosc 2001;9(03):167-172 (2001) |
Arthroscopic and graft/percutaneous screw/plate |
I, II, III, VI |
_______ |
POi |
6 weeks |
__________ |
Sament et al2828 Sament R, Mayanger JC, Tripathy SK, Sen RK. Closed reduction and percutaneous screw fixation for tibial plateau fractures. J Orthop Surg (Hong Kong) 2012;20(01):37-41 (2012) |
Closed reduction and clamping by percutaneous screw |
I, II, IV, V |
_______ |
6 weeks |
12 weeks |
Radiological evidence |
Shen et al2222 Shen C, Ma J, Chen XD, Dai LY. The use of beta-TCP in the surgical treatment of tibial plateau fractures. Knee Surg Sports Traumatol Arthrosc 2009;17(12):1406-1411 (2009) |
Open reduction and internal fixation + B-TCP |
II, V, VI |
_______ |
6 weeks |
_________ |
Radiological evidence |