# Combined internal fixation and autologous chondrocyte implantation for tibial plateau fracture concomitant with cartilage injury: a case report

## TL;DR

This case report describes a successful treatment for a tibial plateau fracture combined with a large cartilage injury using internal fixation followed by autologous chondrocyte implantation.

## Contribution

This is the first report of combined internal fixation and ACI for tibial plateau fracture with large cartilage injury.

## Key findings

- The patient resumed daily activities and sports one year after surgery.
- MRI and arthroscopy showed hyaline cartilage-like tissue covering the injured area.
- The consecutive procedures shortened the treatment period and led to favorable outcomes.

## Abstract

This is the first report of tibia plateau fracture (TPF) concomitant with a large cartilage injury, which was treated with consecutive procedures comprising internal fixation and autologous chondrocyte implantation (ACI). A 49-year-old male patient was diagnosed with a medial tibial plateau fracture concomitant with a large medial femoral condyle cartilage injury. The patient underwent internal fixation and ACI at a 4-week interval. One year after the surgery, he could resume daily activities and sports. Magnetic resonance imaging and arthroscopic findings showed that the injured cartilage was covered by hyaline cartilage-like tissue. TPF concomitant with large cartilage injury can be treated with consecutive internal fixation and ACI procedures, shortening the overall treatment period and favorable outcomes.