Abstract
The diagnosis, evaluation and management of the patient who sustains a fracture of the tibial plateau are complex. There are a small number of strategies and a large number of tactics that can be used. The underlying principle of assessment, lower limb alignment and early joint movement, is likely to produce the best results that can be achieved. The more severe the violence of the injury, the greater the likelihood of infection and/or delays in skin healing. Several less invasive techniques are now being more widely applied, and time will tell whether these will be effective in the hands of a wider range of trauma and orthopaedic surgeons.
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