Introduction:

high energy fractures of the tibial plateau can cause problems related to management, due to the severe comminution that leads to poor alignment; and late complications such as post-traumatic osteoarthritis. The treatment can be quite difficult, due to its severity and functional sequelae. We present the case of a Schatzker VI tibial plateau fracture resolved surgically with double plaque.

Clinical Case:

this is a previously healthy 34-year-old man who presented to the emergency room after a fall while doing mountain bike competition, suffering axial trauma in forced varus of the left knee. The radiographs showed a comminuted tibial plateau fracture that affected the two platforms, which was classified according to Schatzker as type VI. 2 surgical times were performed; Primary tutors were placed primarily until the secondary complex decreased and later definitive surgery with double plaque was performed, we obtained a satisfactory recovery.

Conclusions:

the management of complex tibial plateau fractures requires an adequate understanding of the fracture pattern, its relationship with the soft tissues and having a timely therapeutic protocol, waiting for the prudent time to perform a definitive stabilization, which may last several weeks until the secondary complex improve.

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