Percutaneous methods of tibial plateau fixation

Michael S. Sirkin, Christopher M. Bono, Mark C. Reilly, Fred F. Behrens

Research output: Contribution to journalArticlepeer-review

44 Scopus citations


Various methods of percutaneous fixation of tibial plateau fractures are available. The optimal method of fixation is dictated by soft tissue injury, fracture characteristics, and functional demands of the patient. Unicondylar fractures are amenable to percutaneous stabilization with screws or plates although some fractures are best approached with open techniques. Hybrid and ring external fixators are most appropriate for patients with bicondylar injuries who have severe soft tissue trauma. Use of intramedullary nails to align ipsilateral shaft fractures adjacent to percutaneously fixed plateau injuries remains controversial but may be indicated for some patients with bicondylar lesions and combined plateau and shaft fractures.

Original languageEnglish
Pages (from-to)60-68
Number of pages9
JournalClinical Orthopaedics and Related Research
StatePublished - 2000
Externally publishedYes


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