Overview
An open fracture of the tibial condyle involves a break in the upper part of the tibia bone that extends through the skin, creating a communication between the fracture site and the external environment. These injuries are complex and often associated with significant soft tissue damage and potential joint instability.Diagnosis
Classification systems are required for thorough preoperative diagnostics and documentation of injury severity 1.
The Posterolateral Instability Score (PoLIS) is a proposed classification system that considers lateral instability, cruciate ligament involvement, and relevant covariates, ranging from 1 to 18 points to depict injury severity 1.Management
Surgical decision-making is guided by classification systems 1.Key Recommendations
Classification criteria are required to account for thorough preoperative diagnostics, surgical decision-making, and standardized scientific documentation of injury severity 1.
The Posterolateral Instability Score (PoLIS) can be used to assess and document the injury severity of injuries to the lateral side of the knee 1.
Accurate classification criteria are needed to address the confusion and ambiguity in communication regarding posterolateral knee instabilities 1.References
1 Weiler A, Frosch KH, Gwinner C, Strobel MJ, Lobenhoffer P. The Posterolateral Instability Score (PoLIS) of the knee joint: a guideline for standardized documentation, classification, and surgical decision-making. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA 2021. link