الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Tibial plateau fractures involve the proximal tibia in its articular and metaepiphyseal segments. Their management is challenging because of the severe displacement of bony fragments, the concomitant depression and impaction of the cancelloussubchondral bone, and the inevitable associated cartilage injury. Often the associated complications are devastating. These fractures results from direct axial compression, usually with a valgus (more common) or varus (less common) moment, and indirect shear forces. The anterior aspect of the femoral condyles is wedge-shaped; with the knee in full extension, the force generated by the injury drives the condyle into the tibial plateau. The direction, magnitude and location of the force, as well as the position of the knee at impact, determine the fracture pattern, location, and degree of displacement. There are numerous classification systems that have been proposed to describe tibial plateau fractures. The majority of these systems are very similar, andeach one recognizes wedge, compression, andbicondylar types.Schatzker’s classification is currently the most widely used and was the first to make the distinction between medial and lateral plateau fractures. Fractures near the proximal tibia should be considered in the differential diagnosis any time a patient complains of knee pain and swelling after major or minor trauma. Knowledge of the mechanism of injury, clinical stability, radiographic findings, and associated injuries is essential in decision making regarding the treatment of knee fractures.