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CASE: A 14-year-old skeletally immature boy sustained a lateral split depression tibial plateau fracture without extension through the physis. He underwent open reduction internal fixation with all-epiphyseal instrumentation. CONCLUSION: Tibial plateau fractures that spare the physis are rare injuries, with no reports previously in the literature of operative treatment without physeal arrest. Careful all-epiphyseal reduction and fixation is a viable option with good-to-excellent outcomes and return to sporting activities.
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Olsen et al. (2020) studied this question.
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