Articular Reduction of a Bicondylar Tibial Plateau Fracture Using a Lateral Tibial Osteotomy.

Abstract

Tibial plateau fractures with significant articular depression can present challenges in achieving anatomic reduction, especially without an associated cortical "split" to access the depression. This case involved a 23-year-old woman with a valgus-unstable bicondylar tibial plateau fracture and substantial lateral joint depression. This review describes the use of a lateral tibial osteotomy to directly visualize and elevate a depressed articular surface during open reduction and internal fixation, allowing for restoration of alignment and stable fixation.