Posteromedial Approach for One Month Old Isolated Posteromedial Tibial Column Fracture in a 44 Year Old Male

Stabilizing posterior column tibial plateau fractures is widely acknowledged as crucial for maintaining a well-aligned joint and reducing the risk of surgical failure. Insufcient reduction or stabilization has been linked to increased surgical risks. The signicance of the posterior column, particularly in cases of posterior shear injuries, is increasingly acknowledged. Restoring the mechanical axis of the knee is identied as the foremost prognostic factor in treating tibial plateau fractures. While discussions often focus on coronal alignment, restoring sagittal plane mechanical alignment is equally vital. When dealing with anterior translation of the distal fragment along with posterior sag of the femur and a posterior plateau fragment, optimal treatment involves posterior reduction and buttress plate xation. Hence, approaches facilitating access to these fragments are essential for achieving proper joint alignment and stability.