Understanding the correlation between coronal plane tibial plateau fractures and the Schatzker classification system
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Conclusion: Fractures oriented in the coronal plane were overlooked for many years, before the advent of three dimensional imaging studies. The current study demonstrates that this pattern is very prevalent and most frequently associated with high energy trauma. This is highlighted by the finding that fracture dislocation types, described as Schatzker classifications IV, V and VI, are most likely associated with coronal plane compromise of the joint. Such injuries may require special surgical planning, and are good indications for complementary three dimensional imaging studies. Further research is needed to determine the exact patterns of soft tissue injuries associated with each Schatzker type. This future analysis may offer guidance to surgeons regarding what should be expected for each Schatzker type and, therefore, enable surgeons to foresee all needed resources to address not only the bony injury, diagnosed by radiographs, but all associated soft tissues damage.