A fracture of the tibial plateau refers to a break in the top of the shin bone (tibia) just below where it joins with the thigh bone to form the knee joint.
The tibial plateau may be fractured following a direct blow to the knee joint or as a result of a compressive force going through the knee. The latter may occur when forces are transmitted up the leg following a fall from a height or when the knee is bent in the wrong direction. Low and high energy traumas are the main reasons for this kind of injury (i.e.:pedestrians hit by a car).
Management of this injury requires immobilisation of the joint and in some cases surgical intervention. Sequential (staged) treatment (external fixation followed by definitive osteosynthesis) is recommended in more complex fracture patterns. But one should remember that any type of tibial plateau fracture can present with soft-tissue complications (Prat-Fabregat et Camacho-Carrasco, 2016).
Prat-Fabregat S. and Camacho-Carrasco P., 2016, Treatment strategy for tibial plateau fractures: an update, EFORT open reviews, 1(5), pp: 225-232