Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands?
Abstract Purposes Tibial plateau fractures can present as different subtypes due to variation in patient characteristics and trauma mechanisms. Insight in the fracture pattern and classification is critical for adequate treatment.This study aims to assess the incidence of tibial plateau fracture sub...
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BMC
2025-02-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08383-8 |
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| author | N. van der Gaast R. L. Jaarsma M. J. R. Edwards J. N. Doornberg E. Hermans the Trauma Platform Collaboration |
| author_facet | N. van der Gaast R. L. Jaarsma M. J. R. Edwards J. N. Doornberg E. Hermans the Trauma Platform Collaboration |
| author_sort | N. van der Gaast |
| collection | DOAJ |
| description | Abstract Purposes Tibial plateau fractures can present as different subtypes due to variation in patient characteristics and trauma mechanisms. Insight in the fracture pattern and classification is critical for adequate treatment.This study aims to assess the incidence of tibial plateau fracture subtypes among various levels of trauma centers in the Netherlands, to explore potential variations in fracture patterns and fracture classifications between these centers. Methods Over a one-year period data was collected from six Dutch trauma centers representing different levels of trauma care. Fractures were classified using both Schatzker and Luo’s systems. Interobserver agreement was calculated to evaluate the consistency of fracture classification among surgeons. Results We included 115 patients treated for a tibial plateau fracture across six different hospitals. The mean patient age was 54 years, ranging from 17 to 85 years. Differences in fracture incidence and mechanisms of injury across trauma centers were revealed; Level 1 trauma centers treated a higher proportion of high-energy trauma cases, predominantly Schatzker 6 fractures, while level 2 and 3 centers dealt with more low-energy traumas, particularly Schatzker 2 fractures. Interobserver agreement for both classification systems was moderate, indicating challenges in classifying tibial plateau fractures accurately. Conclusion This study sheds light on the diverse distribution of subtypes of tibial plateau fractures in Dutch trauma centers. Level 1 centers are treating younger, high-energy trauma patients, whereas level 2 and 3 centers handle more low-energy traumas, predominantly Schatzker 2 fractures. Trial registration METC Oost-Nederland: 2021–13,184. |
| format | Article |
| id | doaj-art-cffd9825826e40e2ab0e22c46cdc7b2e |
| institution | OA Journals |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-cffd9825826e40e2ab0e22c46cdc7b2e2025-08-20T02:15:17ZengBMCBMC Musculoskeletal Disorders1471-24742025-02-012611910.1186/s12891-025-08383-8Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands?N. van der Gaast0R. L. Jaarsma1M. J. R. Edwards2J. N. Doornberg3E. Hermans4the Trauma Platform CollaborationDepartment of Trauma Surgery, Radboud University Medical CenterDepartment of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Flinders UniversityDepartment of Trauma Surgery, Radboud University Medical CenterDepartment of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Flinders UniversityDepartment of Trauma Surgery, Radboud University Medical CenterAbstract Purposes Tibial plateau fractures can present as different subtypes due to variation in patient characteristics and trauma mechanisms. Insight in the fracture pattern and classification is critical for adequate treatment.This study aims to assess the incidence of tibial plateau fracture subtypes among various levels of trauma centers in the Netherlands, to explore potential variations in fracture patterns and fracture classifications between these centers. Methods Over a one-year period data was collected from six Dutch trauma centers representing different levels of trauma care. Fractures were classified using both Schatzker and Luo’s systems. Interobserver agreement was calculated to evaluate the consistency of fracture classification among surgeons. Results We included 115 patients treated for a tibial plateau fracture across six different hospitals. The mean patient age was 54 years, ranging from 17 to 85 years. Differences in fracture incidence and mechanisms of injury across trauma centers were revealed; Level 1 trauma centers treated a higher proportion of high-energy trauma cases, predominantly Schatzker 6 fractures, while level 2 and 3 centers dealt with more low-energy traumas, particularly Schatzker 2 fractures. Interobserver agreement for both classification systems was moderate, indicating challenges in classifying tibial plateau fractures accurately. Conclusion This study sheds light on the diverse distribution of subtypes of tibial plateau fractures in Dutch trauma centers. Level 1 centers are treating younger, high-energy trauma patients, whereas level 2 and 3 centers handle more low-energy traumas, predominantly Schatzker 2 fractures. Trial registration METC Oost-Nederland: 2021–13,184.https://doi.org/10.1186/s12891-025-08383-8Tibia plateau fracturesProximal tibia fractureTibial plateau |
| spellingShingle | N. van der Gaast R. L. Jaarsma M. J. R. Edwards J. N. Doornberg E. Hermans the Trauma Platform Collaboration Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands? BMC Musculoskeletal Disorders Tibia plateau fractures Proximal tibia fracture Tibial plateau |
| title | Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands? |
| title_full | Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands? |
| title_fullStr | Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands? |
| title_full_unstemmed | Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands? |
| title_short | Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands? |
| title_sort | is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1 level 2 and level 3 trauma centers in the netherlands |
| topic | Tibia plateau fractures Proximal tibia fracture Tibial plateau |
| url | https://doi.org/10.1186/s12891-025-08383-8 |
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