Are Schatzker and AO classifications accurate enough to classify tibial plateau fractures in alpine skiers?

Saragaglia, D.; Giunta, Juan; Gaillot, Julia; Rubens-Duval, Brice; Pailhé, Régis

doi:10.1007/s00264-021-04993-8

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…The majority of knee injuries sustained through skiing occur in women, with soft tissue injuries such as anterior cruciate ligament (ACL) injuries occurring most frequently [19,22]. Several prior studies examining tibial plateau fractures among skiers have reported a higher incidence among females [3,[15][16][17]. In contrast, 60% of the tibial plateau fracture patients in the current study were male, and only 38% (18/47) had concomitant soft tissue injuries.…”

Section: Discussioncontrasting

confidence: 57%

“…Increased downhill speeds or simply a sudden change in the direction of the downhill force may have generated the torque necessary to create the high-energy fracture patterns observed in these patients. In a series of 116 tibial plateau fractures sustained by alpine skiers, Saragaglia et al reported Schatzker type VI fractures to be the most common type (34%) and stated that the energy of the corresponding impacts was similar to that observed in road traffic accident injury patterns [17].…”

Section: Discussionmentioning

confidence: 90%

“…Injury rates have been observed to be higher in first-day skiers, snowboarders, and skiboarders [11,12]. Female skiers were found to have higher rates of knee injuries in numerous studies [3,5,[13][14][15][16][17]. The influence of age on injury rates among skiers is highly variable according to the literature.…”

Section: Introductionmentioning

confidence: 99%

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Tibial Plateau Fractures among Alpine Skiers: A Retrospective Case Series

Williamson¹,

Smith²,

Swanson³

et al. 2023

Osteology

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The purpose of this retrospective case series was to review the demographics of alpine skiers who sustain tibial plateau fractures, evaluate the inter-observer reliability of the Schatzker classification for fractures sustained while alpine skiing, and to evaluate patient-reported outcomes. We hypothesized that most tibial plateau fractures would be low-energy fracture patterns (Schatzker I–III) and occur in women and less-experienced skiers. Charts and radiographs of patients treated surgically for tibial plateau fractures caused by alpine skiing were evaluated. Patients treated less than two years prior to review were excluded. Patients who qualified were contacted to complete a questionnaire regarding their skiing experience, their pain levels experienced following their accident, the weather conditions during the accident, and their return to sport. Forty-seven patients met the inclusion criteria. The mean age was 49, and 60% of the participants were male. There were 28 low-energy fracture patterns (Schatzker I–III) and 19 high-energy patterns (Schatzker IV–VI) with a 95.7% inter-observer reliability. Contrary to the hypothesis, tibial plateau fractures sustained while alpine skiing occurred in older, experienced riders. Approximately 40% were high-energy fractures. Although over 75% of patients reported having no pain or occasional pain at their final follow-ups, less than half of the patients returned to alpine skiing.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Tibial Plateau Fractures among Alpine Skiers: A Retrospective Case Series

Williamson¹,

Smith²,

Swanson³

et al. 2023

Osteology

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Comparison of virtual reality and computed tomography in the preoperative planning of complex tibial plateau fractures

Colcuc,

Miersbach,

Cienfuegos

et al. 2024

Arch Orthop Trauma Surg

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Introduction Preoperative planning is a critical step in the success of any complex surgery. The pur-pose of this study is to evaluate the advantage of VR glasses in surgical planning of complex tibial plateau fractures compared to CT planning. Materials and methods Five orthopedic surgeons performed preoperative planning for 30 fractures using either conventional CT slices or VR visualization with a VR headset. Planning was performed in a randomized order with a 3-month interval between planning sessions. A standardized questionnaire assessed planned operative time, planning time, fracture classification and understanding, and surgeons’ subjective confidence in surgical planning. Results The mean planned operative time of 156 (SD 47) minutes was significantly lower (p < 0.001) in the VR group than in the CT group (172 min; SD 44). The mean planning time in the VR group was 3.48 min (SD 2.4), 17% longer than in the CT group (2.98 min, SD 1.9; p = 0.027). Relevant parameters influencing planning time were surgeon experience (-0.61 min) and estimated complexity of fracture treatment (+ 0.65 min). Conclusion The use of virtual reality for surgical planning of complex tibial plateau fractures resulted in significantly shorter planned operative time, while planning time was longer compared to CT planning. After VR planning, more surgeons felt (very) well prepared for surgery.

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