Surgical Management of Postero-Medial Tibial Plateau Fracture: Is PlateOsteosynthesis Mandatory?

Abstract

Postero-medial tibial plateau fracture (Moore type 1) is challenging. Since several years a posterior approach has been described in order to use a butteress plate. In our opinion, it is possible to fix accurately this kind of fracture with 2 to 5 antero-posterior 6.5 mm cancellous screws through an anterior approach. The aim of this work was to present anatomical results and return to sport of 15 patients operated on for Moore type 1 tibial plateau fracture. We observed no pseudarthrosis or secondary varus displacement. 87% of patients resumed back to their sporting activities. The anteromedial incision has a dual advantage of anatomical postero-medial fragment reduction and tibial spine fixation (in 80% of our cases).