Pearls and pitfalls in the treatment of tibial plateau fractures

By Douglas W. Lundy, MD, FACS, and Mary Jo Albert, MD

Tibial plateau fractures are common injuries that affect the articular surface of the proximal tibia. They range from minimally displaced lateral depression fractures to severe bicondylar fractures that may be associated with knee dislocations, compartment syndromes, or vascular injuries.

The options available to stabilize these fractures have multiplied during the past few years and include smaller screw diameters, locking plates, and improved osteobiologic implants. Surgeons who care for patients with tibial plateau fractures will find that an understanding of the complications associated with these injuries will improve the patient’s outcome and decrease the surgeon’s risk of liability.

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