Anatomic restoration of an isolated medial tibial plateau depression in a young patient after high-energy trauma: A case report.
Ahmet Polat, Emin Can Balci
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Case in brief
An 18-year-old male presented with knee pain and swelling after a motorcycle accident, revealing an isolated medial tibial plateau depression fracture with minimal displacement. The fracture was treated with anatomical elevation and stabilization using a proximal medial locking plate, without bone grafting. The patient achieved radiographic union by three months, and at the 12-month follow-up, maintained anatomic reduction and significant improvement in knee function.
Diagnostic / clinical pearl
In selected cases of isolated medial tibial plateau depression fractures, stable anatomic reduction and rigid fixation can yield positive outcomes without the need for graft augmentation.