Treatment of Schatzker Type V and VI Tibial Plateau Fractures Using a Midline Longitudinal Incision and Dual Plating
A 58-year-old female patient was injured in a bus accident and suffered from a right tibial plateau fracture (Schatzker type VI) (, case no. 9 in ). She also had injuries of the medial collateral ligament and medial meniscus underlying severe arthritic change. The injuries of the ligament and meniscus were managed with conservative care. A midline longitudinal incision and dual-plate fixation were performed 9 days after the injury (). The removal of suture material and passive movement of the joints were postponed because healing of the wound was delayed. Passive movement of the joints began 3 weeks after surgery and the suture material was removed 4 weeks after surgery (). At the final follow-up, the range of motion was 140° (range, 0° to 140°).