FUNCTIONAL OUTCOME OF PLATING IN TIBIAL PLATEAU FRACTURES CLASSIFIED THROUGH MODIFIED SCHATZKER CLASSIFICATION

Abstract

Introduction: Tibial plateau fractures make up about one percent of all bone fractures and are responsible for roughly eight percent of fractures in older adults; thus, they are frequently encountered in clinical practice. These injuries can present in numerous forms, affecting either the medial, lateral, or both sides of the plateau, with varying degrees of joint surface depression and displacement. The essential goal when surgically fixing tibial plateau fractures is to accurately restore both the joint surface and the overall alignment of the leg. 
Objective: This research aims to evaluate clinical findings after surgical treatment of tibial plateau fractures using plates and to identify fracture types using three-dimensional imaging. 

Results: Our study demonstrated that the use of 3D imaging simplified preoperative planning and led to positive functional and radiological patient outcomes. Notably, in Schatzker types IV, V, and VI, posteromedial plating was performed for select patients with posteromedial fragments that were missed with standard x-rays. 
Conclusion: Employing the modified Schatzker system allows for a more detailed view of the fracture, which supports more precise case-by-case treatment.