Detail Article

Journal Orthopaedi and Traumatology Surabaya

ISSN 2460-8742

Vol. 7 / No. 1 / Published : 2018-04

Order : 1, and page :1 - 11

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Original Article :

Correlation between three column concept classification and internal fixation procedure of tibial plateau patients at dr. soetomo hospital

Author :

  1. Dwikora Novembri Utomo*1
  2. Januar Ari Subiantoro *2
  1. Dosen Fakultas Kedokteran
  2. Mahasiswa Fakultas Kedokteran

Abstract :

Background: Tibial Plateau Fracture is one of the most common case seen in orthopaedics and the most classification system used is Schaetzker Classification. This classification is using X-ray photograph to classify the fracture and it has limitation to describing a posterior column in tibial plateau fracture since X-ray is a 2D projection. Nowadays surgeon over the world start to using Three Column concept classification because it has a better image of 3D visualization of tibial plateau. Purpose: To know which one classification is more accurate in describing tibial plateau fracture in Dr. Soetomo Hospital period January 2015 until September 2017. Methods: This study is retrospective study, we collected data of patients with Tibial Plateau fracture that has been operated in Dr. Soetomo hospital from January 2015 – September 2017. Results: From the study found 24 patients that match with inclusion criteria. All patients are classified with Schaetzker and Three Column Classification. The most type of fracture based on Schaetzker Classification is Type 2 (7 patients) and based on Three Column Classification is type Three Column (11 patients) and the most action in Three Column type is Internal Fixation with double plate insertion (55 %). Conclusion: Three Column Classification is more accurate to describe type fracture in posterior part than Schaetzker. Three Column Classification is recommended to make easier decision for Tibial Plateau fracture treatment and prevent any loss of correction.

Keyword :

Tibial Plateau fractures, Schaetzker Classification, Three Column Concept, Open Reduction Internal Fixation,

References :

Thomas et al.,(2009) Current Concepts in Tibial Plateau Fractures. p. 363-373 : Acta Chirurgiae Orthopaedicae et Traumatologiae

Chih-shien shih,(2010) Treatment of the Posterolateral Tibial Plateau Fractures using the Anterior Surgical Approach. 316-320 : Int J Biomed Sci

Bucholz, Robert W et al.,(2010) Rockwood and Green’s fracture in adults, 7th Edition p. 2000-2016 : Lippincott Williams & Wilkins

Archive Article

Cover Media Content

Volume : 7 / No. : 1 / Pub. : 2018-04
  1. Correlation Between Three Column Concept Classification And Internal Fixation Procedure Of Tibial Plateau Patients At Dr. Soetomo Hospital
  2. Correlation Between Harris Hip Score (hhs) And Body Mass Index (bmi) In Patients With Femoral Neck Fracture After Hemiarthroplasty
  3. Osteosarcoma Has Not Become Attention To Society Profile Of Osteosarcoma Patients At Dr. Soetomo General Hospital Surabaya “a Retrospective Study”
  4. The Role Of Platelet-rich Fibrin Facilitates The Healing Of Gastrocnemius Muscle Defect: A Preliminary Study On Animal Model
  5. The Effect Of Decellularization Technique On Collagen Type Ii And Matrices Porosity Of Cartilage Bovine Scaffold
  6. Long Term Functional Evaluation Autofibular Strut Graft In Case Of Fractures Neck Femur In Rsud Dr. Soetomo Surabaya
  7. Biomechanical Comparative Study Between Tension Band Wiring, Double Endo Button And Hook Plate For Acromioclavicular Joint Injury
  8. Orthopaedic Emergency Cases At Hasan Sadikin Hospital Bandung Caused By Traditional Bone Setter Practice
  9. Lower Leg Deformity Correction Using Ilizarov Device In Dr Soetomo General Hospital Surabaya: A Case Series