# Innovative Approach to Lateral Tibial Plateau Fracture: A Case Study on Anterolateral Submeniscal Arthrotomy With Cement Augmentation and Screw Fixation

## TL;DR

This case study presents a successful surgical approach for a lateral tibial plateau fracture using arthrotomy, cement, and screw fixation.

## Contribution

The paper introduces a specific surgical technique combining submeniscal arthrotomy with cement augmentation and screw fixation for lateral tibial plateau fractures.

## Key findings

- Anterolateral submeniscal arthrotomy allowed direct visualization and fixation of the depressed fracture.
- Bone cement and cannulated cancellous screw provided stable fixation confirmed by postoperative imaging.
- The patient achieved satisfactory functional outcomes following the procedure.

## Abstract

Lateral tibial plateau fractures are generally present as depressed fractures. The lateral tibial plateau is more common than the medial tibial plateau, often due to a bumper injury. If depressed fragments are more than 8-10 mm, then surgical management is usually needed. Anterolateral fixation is frequently used for unicondylar lateral tibial plateau fractures. Here, we present an articular depressed lateral tibia plateau fracture in a Schatzker type 3 case. The fracture was managed through an anterolateral approach with sub-meniscal arthrotomy, allowing for direct visualization and subsequent fixation using bone cement and a cannulated cancellous screw. Postoperative imaging confirmed proper reduction, and the patient had a satisfactory outcome..