Surgical approach and treatment in Bicondylar tibial plateau fracture

Bicondylar tibial plateau fracture has been defined as a fracture in which bothtibial condyles are fractured. It categorized as type 5 and 6 according to Schatzkerclassification. Complications are frequent and treatment must be planned tominimize risks.There are two frequently used surgical approaches to reduce and internally fix tibialplateau fractures: the anterolateral approach and the posteromedial approach, theyare used together for Bicondylar tibial plateau fractures.In planning to operatively treat a tibial plateau fracture, the fracture pattern andsoft tissue circumstances will dictate the approach, the reduction technique and thefixation device selection.Finally, it is clear that the safest approach is dependent to the fracture characteristicsand surgeon preferences.