A Challenging Posterolateral Depression Fracture in Bicondylar Proximal Tibia Fracture Treated by Lateral Condyle Intra-Articular Osteotomy: A Case Report

Bicondylar proximal tibia fractures often include lateral condyle depression fractures, which are addressed with relative ease through the split or by pin leverage under image guidance. This case report describes a posteromedial condyle fracture with a posterolateral gross depression extending to the posterior rim in the absence of an anterior split. The authors have attempted to address it with two approaches, which were not fruitful, leading to the application of a lateral condyle osteotomy and successful reduction of the depression. Computed tomography scan was suggestive of a posteromedial shear fragment along with a posterolateral depression extending to the posterior cortex and extending centrally into the plateau in an oval shape along the sagittal plane.