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I - lateral plateau split
13%
30/228
II - lateral plateau split/depression
41%
93/228
III - lateral plateau depression
17%
39/228
IV - medial plateau fracture
2%
5/228
V - bicondylar tibial plateau fracture
25%
56/228
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Locked lateral plate fixation of the proximal tibia has proven effective for bicondylar fractures (Schatzker types V and VI). The laterally based plate provides support for the lateral condyle fracture and locked proximal screws support the medial fragment from varus collapse. A medial antiglide plate can be used in conjunction with the locked plate. Lateral locked plate fixation has not been shown to have advantages for pure lateral fractures (Schatzker types I, II, and III) that require buttress plating or support of depressed articular components. Pure medial fractures (Schatzker type IV) are best treated with medial fixation. Ricci et al. Cole et al.
1.2
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