PMC10212676_01
Pre-operative X-rays.
CRIOR2023-3635067.001.jpg
PMC10212676_01_CRIOR2023-3635067.001.jpg
fig1
He was transferred to the emergency department of our institution, where a Schatzker VI tibial plateau fracture was diagnosed (Figure 1).
Pre-operative computed tomography and 3D reconstruction.
CRIOR2023-3635067.002.jpg
PMC10212676_01_CRIOR2023-3635067.002.jpg
fig2
Definitive surgery was planned using anteroposterior and lateral left knee X-rays, computed tomography (CT) scan, and 3D knee reconstruction, showing posteromedial plateau comminution (Figure 2).
Direct visualization of the posteromedial articular surface of the medial tibial plateau by a submeniscal arthrotomy and fixation with a posteromedial rim plate.
CRIOR2023-3635067.003.jpg
PMC10212676_01_CRIOR2023-3635067.003.jpg
fig3
Definitive fixation was achieved with a 2.7 mm precontoured mini fragment LCP Rim Plate (Compact foot 2.4-2.7 mm, DePuy Synthes; Figure 3).
Post-operative X-rays.
CRIOR2023-3635067.004.jpg
PMC10212676_01_CRIOR2023-3635067.004.jpg
fig4
Post-operative control X-rays and CT showed adequate reduction and fixation of the posteromedial comminution with the use of the rim plate (Figures 4 and 5).
Post-operative computed tomography.
CRIOR2023-3635067.005.jpg
PMC10212676_01_CRIOR2023-3635067.005.jpg
fig5
Post-operative control X-rays and CT showed adequate reduction and fixation of the posteromedial comminution with the use of the rim plate (Figures 4 and 5).
After 5 months, the patient presented full range of motion of the left knee and adequate muscle trophism.
CRIOR2023-3635067.006.jpg
PMC10212676_01_CRIOR2023-3635067.006.jpg
fig6
After five months, the patient presented full range of motion of the left knee (Figure 6), adequate muscle trophism, and achieved advanced radiological bone consolidation evidenced in CT.