Tibial plateau fracture historical perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview[edit | edit source]

In 1825, Sir Astley Cooper first described fractures of the proximal tibia and recommended treatment by re-alignment, splintage and early passive motion. In 1939, the first classification system was proposed by Marchant. In 1973, Rasmussen introduced open reduction and internal fixation (ORIF) of tibial condylar fractures. In 1979, Schatzker described his classification which is still commonly used today. In 1987, AO/OTA came up with its own classification for tibial plateau fracture.

Historical Perspective[edit | edit source]

Discovery[edit | edit source]

• In 1825, Sir Astley Cooper first described fractures of the proximal tibia.^[1]

Immobilization of tibial plateau fracture Source: Case courtesy of Internet Archive Book Images [No restrictions, via Wikimedia Commons]

Landmark Events in the Development of Treatment Strategies[edit | edit source]

• In 1825, Sir Astley Cooper recommended treatment by re-alignment, splintage and early passive motion.^[1]
• In 1850's, Anger treated most minimally displaced fractures with early knee traction mobilization.^[1]
• In 1939, the first classification system was proposed by Marchant.^[2]
• The 1960, Duparc and Ficat gave a classification which is commonly used is used in France.^[3]
• In 1972, Sarmiento popularized functional cast bracing of most tibial condylar fractures.^[4]
• In 1973, Rasmussen introduced open reduction and internal fixation (ORIF) of tibial condylar fractures.^[5]
• In 1979, Schatzker described his classification which is still commonly used today.^[6]
• In 1987, AO/OTA came up with its own classification.^[7]

References[edit | edit source]

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