This paper is only available as a PDF. To read, Please Download here.
Twenty-one consecutive patients with fractures of the tibial plateau were investigated by standard radiography and magnetic resonance imaging (MRI) before treatment. It was found that MRI was more accurate in determining the classification of the fracture, in the identification of previously ‘occult’ fracture lines, and in accurate measurement of displacement and depression of fragments. This resulted in a change in the classification of 10 fractures (47.6 per cent) and so a change in the management of four patients (19 per cent). In addition, MRI permits the reliable identification of associated intra- and periarticular soft tissue injuries pre-operatively for the first time in this group of injuries, seen to be present in 47.6 per cent of this series. This is higher than previously reported. No problems were encountered with the imaging technique, and in view of the significant effect on patient management, the authors now consider it to be the imaging method of choice.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Injury
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The tibial plateau fracture: the Toronto experience.Clin Orthop Rel Res. 1979; 138: 94
- Roentgenographic measurement of tibial plateau depression due to fracture.J Bone Joint Surg [Am]. 1974; 56A: 155
- Tibial condylar fractures with a particular view to the value of tomography.Acta Orthop Scand. 1977; 42: 462
- The use of tomography in the assessment of fractures of the tibial plateau.J Bone Surg [Am]. 1976; 58A: 551
- Computerised axial tomography for tibial plateau fractures.J Bone Joint Surg [Br]. 1987; 69B: 84
- Ligament injuries associated with tibial plateau fractures.Clin Orthop Rel Res. 1990; 250: 226
- The pathomechanics of the knee joint. I: The medial collateral ligament and lateral tibial plateau fractures.J Bone Joint Surg [Am]. 1960; 42A: 13
- The Comprehensive Classification of Fractures of Long Bones. Springer-Verlag, Berlin1990: 148 12th Ed.
- Occult cartilage and bone injuries of the knee: detection, classification and assessment with MR imaging.Radiology. 1989; 170: 823
- Tibial plateau fractures: an analysis of the results of treatment in 60 patients.Clin Orthop Rel Res. 1984; 182: 193
- Tibial condylar fracture: impairment of knee joint stability as an indication for surgical treatment.J Bone Joint Surg [Am]. 1973; 55A: 1331
- Imaging the ligaments of the knee.CRC Crit Rev Diagn Imaging. 1991; 32: 323
Accepted: June 5, 1995
© 1995 Published by Elsevier Inc.