Fig. 8

A typical case of a 39-year-old male with Schatzker IV tibial plateau fractures (flexion-valgus-internal rotation type). (a) The features of this type were shown in CT images. (b) Medial approach was needed for the reduction of MFA. (c-d) A posteromedial incision was made to expose the posteromedial fracture and MFA in a supine position. After the reduction, the MFA was fixed by screws and a plate that was placed upon the MFA. Then a lateral incision was made to expose MCZ located in posterolateral quadrant and to explore the displaced lateral meniscus. The displaced lateral meniscus and the lateral joint capsule were sutured together. Bone grafting combined with internal fixation was performed after the reduction of the lateral articular surface. (e) Postoperatively, the function of the knee was excellent