Treatment Progress Of Schatzker Ⅳ Type Tibial Plateau Fracture

The Schatzker classification is the most commonly used clinical tibial plateau fracture classification system.According to the injury mechanism and fracture site,the fractures were divided into six types.The Schatzker IV fracture is a special type of tibial plateau fracture.The injury mechanism is mostly due to flexion and inversion and axial violence.The percentage of all tibial plateau fractures is 10% to 30%,combined with soft tissue injury.The chance is high,usually need to choose surgery,the timing of surgery is closely related to the soft tissue injury.For fracture reduction,the earlier surgery is relatively easy,but it also increases the incidence of postoperative complications.The ideal surgical approach should be based on a comprehensive consideration of the fracture site,type,and surrounding soft tissue injury.Only the correct choice of surgical approach and the use of internal fixation implants can increase the probability of fracture healing,and at the same time reduce wound infections and fractures.The occurrence of related complications such as healing.The detailed analysis of the fracture type,especially the displacement of the articular surface,the degree of comminution,and the position of the fracture line are extremely important for the reduction of the fracture and the application of the internal fixation.Therefore,the application of computed tomography(CT)is necessary to understand the fracture type.Through the reconstruction of the coronal and sagittal planes,the shape of the fracture and the position of the major articular surface can be clearly displayed,so that the injury mechanism can be accurately analyzed,and the surgical incision,reduction method,and internal fixation scheme can be designed.Magnetic resonance imaging(MRI)scans can help to fully understand the damage of the soft tissue and ligaments around the knee,and then targeted and reasonably arranged treatment programs.At present,there are many differences in the classification and treatment methods of the Schatzker IV tibial plateau fractures.This article will comprehensively elaborate on the Schatzker IV tibial plateau fracture classification,treatment methods and related complications.