Surgical Discussion

Provisional reduction and fixation of the minimally displaced plateau was achieved using k-wires and isolated percutaneous screws. This restored the articular surface of the lateral condyle and stabilised the articular block for subsequent nailing. A further screw stabilisation of a tibial tubercle fracture was done, stabilising the tubercle to the posterior cortex with lag screws, taking into consideration the future path of the nail. Following unremarkable introduction of the nail Secondary support of the medial cortical column was done with a percutaneously placed plate. This was secured in a minimally invasive fashion without significant soft tissue injury. Case credit: Matthew Wharton, University of New Mexico.

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