An Unusual Presentation of a Bicondylar Tibial Plateau Fracture, Managed Without Surgery and Early Full Mobilisation

of a Abstract and/or Magnetic resonance imaging can be key not only for diagnosis for also for surgical planning. Of course, non-operative treatment is an option and should be considered in fracture patterns which have little or no displacement. And with or without surgery, early intervention to assist in knee mobilisation is key to prevent stiffness and muscle atrophy. Case report: We present a case a 51-year-old gentleman who after high energy axial loading of his left knee initially presented atypically of a tibial plateau fracture. Despite a later diagnosis of a Schatzker 5 tibial plateau plateau fracture was able to mobilise fully, without developing fracture displacement. We present the successful non-operative management of this case and report how and why we managed this injury in this manner. Discussion: Atypical presentations of tibial plateau fractures can catch clinicians out, and so it is important to have a high index of suspicion of these injuries. There is literature to support non-operative management of plateau fractures, but this is by no means in the majority opinion. Conclusion: For the patients managed without surgery, close monitoring of the fracture fragments with serial radiographs along with early range of movement exercises is key for successful management.