The treatment of Schatzker type V and VI tibial plateau fractures with a midline longitudinal incision and dual-plate fixation resulted in satisfactory clinical and radiological outcomes. This can be an option when treating Schatzker type V and VI tibial plateau fractures.
The fracture also extends medially to involve the tibial eminences. Split fractures of the medial tibial plateau are also seen. The tibial plateau fractures are commonly classified by the Schatzker classification system. Schatzker II: type I fracture with a depressed component (generally considered commonest)
They tend to have a poor prognosis. High-energy tibial plateau fractures remain a challenge to orthopaedic surgeons, with the bicondylar type (Schatzker type V) and the comminuted type (Schatzker type VI) fractures being the most difficult to treat [ 3 ].
Most of the classification systems (Schatzker and AO) are based on the anteroposterior X-ray appearances [ 21, 22 ]. Bhattacharyya et al., stressed the importance of evaluating tibial plateau fractures on lateral views, criticizing the above fact [ 23 ]. The peculiar fracture patterns are explained by the typical anatomical considerations.