Tibial plateau (knee) fractures

A 61-year-old female was hiking in the mountains when she slipped and fell onto her left lower extremity. She was taken to a local hospital and radiographs revealed a left-sided Schatzker II tibial plateau fracture (split with depressed fragment) and she was referred to us one day following her injury for definitive treatment.

Open reduction and internal fixation (ORIF) was performed and included elevation of the depressed fragment, placement of bone graft, reduction of the articular surface and metaphyseal extension and placement of a proximal tibia locking plate and screws.

She returned for regular follow-up and healed uneventfully. At the time of her latest follow-up visit, 7 months following fracture surgery, she has excellent radiographic and clinical results including a healed tibial plateau fracture in excellent alignment, maintenance of fixation and knee joint space, complete pain resolution, full range of motion and a return to pre-injury activities.

  • Figure A

    Figure A

    Anteroposterior (AP) and lateral radiographs revealing a Schatzker II tibial plateau fracture.

    Enlarge

  • Figure B

    Figure B

    CT scan images further delineating the fracture pattern and depressed bone fragment.

    Enlarge

  • Figure C, D

    Figure C, D

    (C) Intraoperative fluoroscopic images following fracture reduction and placement of a proximal tibia locking plate and screws.

    (D) AP and lateral radiographs 7 months following fracture surgery revealing a healed tibial plateau fracture in excellent alignment.

    Enlarge

Tags:

Our Patients

  • “I told Dr. Helfet that he’s my hero. Without him, I would never have had the life I am living.”

    ~ Maxime Heinsbroek

    Read Full Story

  • “The level of expertise and care is beyond imagination. Dr. Helfet is an artist.”

    ~ Herve Duteil

    Read Full Story

  • “I was comforted and reassured that I was in good hands now and on the road to recovery.”

    ~ Lana

    Read Full Story

  • “There was the possibility for the first time to live a full and adventurous life that I had always dreamed of.”

    ~ Devon Reynolds

    Read Full Story

  • “They are a huge part of the progress I have made.”

    ~ Larry Nipon

    Read Full Story

  • “The entire hospital staff were just amazing from the instant we rolled through the doors throughout the entire stay.”

    ~ Victor Katz

    Read Full Story

  • “Being an international patient, the welcome in that department was like home!”

    ~ Cecilia Chlimper de Batievsky

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 
212-606-1888

Dean G. Lorich, MD
212-746-4509

David S. Wellman, MD
212-606-1504