Posterolateral tibial plateau fracture

Abstract

Posterolateral tibial plateau fractures are relatively uncommon but are clinically significant due to their impact on knee stability and function. Accurate diagnosis, utilizing radiographic imaging and computed tomography (CT) scans, is essential for characterizing fracture patterns and planning appropriate treatment. Surgical management is considered the mainstay, with various approaches, including the anterolateral approach, posterolateral approach, and posteromedial approach, aimed at providing optimal access to fracture sites while minimizing soft tissue disruption. This article reviews the clinical features, optimal diagnostic methods, surgical strategies, and factors influencing treatment outcomes, such as the importance of anatomic reduction and postoperative rehabilitation. Proper surgical planning and selection of the most appropriate operative technique are critical to achieving optimal restoration of knee function and ensuring successful patient recovery.