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ORIF with medial and lateral plating with grafting of metaphyseal defect
1%
17/1205
ORIF with lateral plating with grafting of metaphyseal defect
91%
1096/1205
ORIF with medial plating
9/1205
ORIF with lateral plating
5%
55/1205
Percutaneous articular fragment reduction and screw fixation
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The injury is a Schatzker type 2 with a significant split and depressed lateral tibial plateau fracture. The anteromedial cortex and medial plateau remain intact and connected to the tibial shaft making this a partial articular fracture (AO type B) and obviating the need for medial plate fixation. The best fixation strategy includes reduction of the articular surface with metaphyseal support with bone graft or bone substitute and a lateral plate for buttress support and subchondral screw support of the articular fragment. Marsh et al revisited the OTA and AO fracture and dislocation classifications to unify coding of these fractures. Illustration A shows the Schatzker classification of tibial plateau fractures.
4.2
(25)
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