Surgical Treatment of Posterior Tibial Plateau Fractures

Posterior tibial plateau fractures are not uncommon injuries and often necessitate surgical treatment. They are frequently unstable with knee flexion even in the absence of an axial load. As with other tibial plateau fractures, knee instability and articular incongruity are indications for surgery. Optimal reduction and fixation usually requires a direct surgical approach, which is dictated by the fracture location and morphology. Common fracture morphologies include a posteromedial fragment that may or may not be associated with a bicondylar tibial plateau fracture, a posterior shearing pattern involving the posteromedial and posterolateral plateaus and a fracture with posterolateral articular impaction.

Source: Operative Techniques in Orthopaedics - September 23, 2015 Category: Orthopaedics Authors: Julius Bishop, Michael Githens Source Type: research