Dual split and dislocation——a variant of Schatzker type-I tibial plateau fracture: A case report

作     者：Devendra Kumar Chouhan Aman Hooda Devendra Kumar Chouhan;Aman Hooda

作者机构：Department of OrthopaedicsPostgraduate Institute of Medical Education and ResearchChandigarhIndia 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2022年第25卷第1期

页      面：59-62页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Tibial plateau fracture Schtazker classification Posterolateral Soft tissue injury 

摘      要：Schatzkter type-I tibial plateau fracture is a split fracture of the lateral tibial plateau in sagittal plane,consequent to valgus impaction caused by low velocity of ***,a deep understanding of the different columns of the tibial plateau and patho-mechanisms of the injury led to the unmasking of atypical fractures around the tibial *** have encountered 2 cases with unusual fracture pattern of the lateral tibial condyle caused by road traffic *** fracture pattern and severity of injury deviate from the original description of Schatzker type 1;in view of dual plane split,there is rotation of the posterolateral column fragment along its sagittal plane plus grade-III medial collateral ligament *** patients were initially treated with knee spanning external fixator and after a latency of 5 days,definitive fracture specific fixation was done,combined with repair of grade-III medial collateral ligament *** the 6 months follow-up both the patients achieved satisfactory knee functions(knee society score case 1:100 and case 2:92)and returned to their *** severity of fracture pattern and displacement as described should prompt for examination of associated ligament *** of timely diagnosis,early and appropriate care promised an excellent function outcome even in such a severe nature of knee *** prompt the description of injury pattern we coined the namedual split and dislocationof lateral tibial plateau,as a complex injury variant of split fracture of lateral tibial plateau fracture.