title: MDCT and MRI for the diagnosis of complex fractures of the tibial plateau: A case control study.
abstract: The aim of this study was to evaluate the clinical value of multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI) in the diagnosis and treatment of complex fractures of the tibial plateau. A total of 71 patients with complex fractures of the tibial plateau (estimated Schatzker classifications III, V and VI) were included in this study. The X-ray, MDCT and MRI data obtained from the patients were analyzed. MDCT was the most sensitive method in the diagnosis of tibial articular surface collapse, cruciate ligament tibial avulsion fracture, degree of fracture comminution and degree of fracture displacement (P<0.01). MRI was the most sensitive method in the diagnosis of injuries of the cruciate and collateral ligaments, menisci and cartilage peeling of the articular surfaces (P<0.01). MDCT and MRI were demonstrated to be more sensitive than X-rays for the diagnosis of insidious damage around the knee.
authors.affiliation: Department of Orthopedic Surgery, 98th Hospital of PLA, Huzhou, Zhejiang 313000, P.R. China.
authors.forename: Yunqin
authors.initials: Y
authors.lastname: Xu
authors.affiliation: Department of Orthopedic Surgery, 98th Hospital of PLA, Huzhou, Zhejiang 313000, P.R. China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Li
authors.affiliation: Department of Orthopedic Surgery, 98th Hospital of PLA, Huzhou, Zhejiang 313000, P.R. China.
authors.forename: Peihua
authors.initials: P
authors.lastname: Su
authors.affiliation: Department of Orthopedic Surgery, 98th Hospital of PLA, Huzhou, Zhejiang 313000, P.R. China.
authors.forename: Tugang
authors.initials: T
authors.lastname: Shen
authors.affiliation: Department of Orthopedic Surgery, 98th Hospital of PLA, Huzhou, Zhejiang 313000, P.R. China.
authors.forename: Yazhong
authors.initials: Y
authors.lastname: Zhu
keywords: X-ray computed tomography; diagnosis; magnetic resonance imaging; tibial fractures