Current management of high-energy tibial plateau fractures

SummaryHigh-energy tibial plateau fractures present a therapeutic challenge to the orthopaedic trauma surgeon, both in terms of the osseous injury as well as the concomitant soft-tissue insult. Surgical treatment has evolved to address these fractures in a more biologically favourable manner without further compromising the soft tissues. We present a summary of these injuries and outline the contemporary approaches to treatment. Potential complications and their avoidance are also discussed. Outcomes following these injuries are reviewed to assist with determination of treatment goals.