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There are 4 main types of plating techniques: 1. Bridging 2. Neutralization 3. Dynamic Compression 4. Buttress plating. Plates can utilize locking or non-locking screws. Buttress plating is appropriate for a Shatzker Type I (see illustration C), as it can prevent collapse and axial deformity from shear or bending forces. Karunakar et al showed that there was no significant difference between split depression tibial plateau fractures (Shatzker II) fixed with either a buttress plate with rafting screws versus a periarticular plate with built in rafting screw hole options, similar to the commonly used pre-contoured periarticular locking plate.
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