• Magdalena Hartwich, Jonathan Lans, Jesse B Jupiter, Reto Babst, Petro Regazzoni, and Dell'OcaAlberto FernandezAFDepartment of Traumatology, British Hospital, Avenida Italia 2420, 11600 Montevideo, Uruguay..
• Department of Traumatology, British Hospital, Avenida Italia 2420, 11600 Montevideo, Uruguay.
• Injury. 2023 Mar 2.

AbstractTibial plateau fractures with significant joint depression and metaphyseal comminution pose a challenge. In order to prevent the collapse of the articular surface, some authors propose filling the subchondral void created during reduction with bone graft/substitute, which can add further complications. We present two cases of tibial plateau fractures with severe joint depression of the lateral condyle; both treated with a periarticular rafting construct, in one caseadditional bone substitute was used and in the other case no bone graft/substitute was used; their final outcomes were reported. The treatment of joint depression in tibial plateau fractures using periarticular rafting constructs without bone graft, may be also a valid option, to achieve good final results without the morbidity associated with the use of bone graft/substitutes.Copyright © 2023. Published by Elsevier Ltd.

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