Schatzker Classification of Tibial Plateau Fractures

Schatzker Classification of Tibial Plateau Fractures
Type	Description	Features
I	Split of lateral plateau	seen in young people with strong bone Often associated with tear of lateral meniscus, which is trapped in fracture
II	Split depression fracture	Caused by valgus blow with axial loading Typically occurs in patients older than 40
III	Pure depression (die punch) of lateral tibial plateau	Central depressions are usually more stable than lateral or posterior
IV	Fracture of medial tibial plateau	Much less common, associated with large forces Often associated with lateral collateral ligament injuries Many of these injuries represent knee dislocation that has reduced fracture pattern most associated with vascular injury
V	Bicondylar fracture	Usually result of pure axial load applied to knee hallmark of this injury is that at least small part of metaphysis remains as part of joint
VI	Plateau fracture with complete dissociation of metaphysis from diaphysis