Treatment of Schatzker Type V and VI Tibial Plateau Fractures Using a Midline Longitudinal Incision and Dual Plating
A 40-year-old male patient was in a head-on collision and suffered a left tibial plateau fracture (Schatzker type VI) (, case no. 8 in ) that was accompanied by an open fracture of the right calcaneus and ankle and a left acetabular fracture with a hip dislocation. It was suspected that the patient also had popliteal artery rupture and nerve damage, so open exploration of neurovascular structures and temporary external fixation were performed. A midline longitudinal incision and dual-plate fixation for the tibial plateau fracture and the open reduction and internal fixation of the acetabulum were performed 7 days after the injury (). Passive movement of the joints began 2 weeks after surgery. At the final follow-up, the flexion contracture was 10° and further flexion was 115°.