Fig. 5

A typical case of a 46-year-old male with Schatzker IV tibial plateau fractures (extension-valgus type). (a) The features of this type were shown in CT images. (b) For the extension-valgus type, the knee should be placed into extension and perform traction for the affected limb. Intraoperative fluoroscopy showed that the dislocation was nearly corrected. (c) After anatomic reduction and temporary fixation, the steel plate was placed upon MFA. Then the patient was turned from a supine position to a prone position and a posterior median incision was made. The posterior intercondylar spine fracture was fixed with screws. (d) The anteroposterior and lateral plain radiographs after the operation were shown