• Reaves M Crabtree, Patrick F Bergin, Matthew L Graves, Ugur Yener, Eldrin Bhanat, William A Day, and Clay A Spitler.
• Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS, 39216. Electronic address: reavesmcrabtree@gmail.com.
• Injury. 2023 Mar 1; 54 (3): 100410101004-1010.

AbstractA displaced medial tibial plateau fracture with central and lateral impaction, but an intact anterolateral cortical rim, is an uncommon variant of bicondylar tibial plateau fracture that presents a number of challenges. Without a lateral metaphyseal fracture line to work through, it is challenging to address central and lateral impaction. Previously published techniques for addressing this fracture pattern describe an intra-articular osteotomy of the lateral plateau to aid visualization and reduction, or use a posterolateral approach to the proximal tibia with or without an osteotomy of the proximal fibula. This study presents a technique which utilizes standard dual incision approaches and does not involve an intra-articular osteotomy of the lateral tibial plateau or a posterolateral approach. A case series was conducted evaluating radiographic and functional outcomes of 8 patients.Copyright © 2022. Published by Elsevier Ltd.

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