{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T15:44:04Z","timestamp":1793893444272,"version":"4.8.0"},"reference-count":29,"publisher":"Bioscientifica","issue":"6","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":256,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Posterolateral tibial plateau fractures are complex injuries requiring a thorough understanding of the anatomical structures involved, including the popliteus tendon, lateral collateral ligament and posterior horn of the lateral meniscus. Standard anterolateral or midline approaches provide limited access to the posterolateral corner, often necessitating specific surgical techniques to achieve optimal fracture reduction and joint stability. This review explores the main surgical approaches used for these fractures outlining their indications, advantages and limitations. Each section provides a step-by-step guide for an effective surgical technique, based on experience from a high-volume trauma center, to optimize exposure, reduction and fixation. Understanding the biomechanical and anatomical aspects of these fractures is crucial for selecting the most appropriate surgical strategy, minimizing complications and improving patient outcomes.<\/jats:p>","DOI":"10.1530\/eor-2025-0037","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T07:53:35Z","timestamp":1748937215000},"page":"416-423","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":8,"title":["Posterolateral tibia plateau fractures: pros and cons of different surgical approaches"],"prefix":"10.1530","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6741-3713","authenticated-orcid":true,"given":"Mattia","family":"Alessio-Mazzola","sequence":"first","affiliation":[{"name":"IRCCS Ospedale San Raffaele, Unit\u00e0 Clinica di Ortopedia e Traumatologia 1 , ,","place":["Milan, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Placella","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Vita-Salute San Raffaele 2 , ,","place":["Milan, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Conca","sequence":"additional","affiliation":[{"name":"IRCCS Ospedale San Raffaele, Unit\u00e0 Clinica di Ortopedia e Traumatologia 1 , ,","place":["Milan, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4070-1907","authenticated-orcid":true,"given":"Vincenzo","family":"Salini","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Vita-Salute San Raffaele 2 , ,","place":["Milan, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"2026070711142285500_bib1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1302\/2058-5241.1.000031","article-title":"Treatment strategy for tibial plateau fractures: an update","volume":"1","author":"Prat-Fabregat","year":"2016","journal-title":"EFORT Open Rev"},{"key":"2026070711142285500_bib2","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1186\/s13018-022-02988-8","article-title":"Epidemiological characterization of tibial plateau fractures","volume":"17","author":"Re\u00e1tiga Aguilar","year":"2022","journal-title":"J Orthop Surg Res"},{"key":"2026070711142285500_bib3","doi-asserted-by":"crossref","first-page":"2252","DOI":"10.1016\/j.injury.2018.11.010","article-title":"Revisiting the Schatzker classification of tibial plateau fractures","volume":"49","author":"Kfuri","year":"2018","journal-title":"Injury"},{"key":"2026070711142285500_bib4","doi-asserted-by":"crossref","first-page":"2950","DOI":"10.1007\/s00167-015-3629-1","article-title":"Clinically relevant anatomy and what anatomic reconstruction means","volume":"23","author":"LaPrade","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711142285500_bib5","doi-asserted-by":"crossref","first-page":"S35","DOI":"10.1016\/S0020-1383(16)30604-0","article-title":"Large fracture of the anteromedial tibial plateau with isolated posterolateral knee corner injury: case series of an often missed unusual injury pattern","volume":"47","author":"Tom\u00e1s-Hern\u00e1ndez","year":"2016","journal-title":"Injury"},{"key":"2026070711142285500_bib6","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1007\/s003300000326","article-title":"Comparison between standard radiography and spiral CT with 3D reconstruction in the evaluation, classification and management of tibial plateau fractures","volume":"10","author":"Wicky","year":"2000","journal-title":"Eur Radiol"},{"key":"2026070711142285500_bib7","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1016\/j.injury.2021.12.053","article-title":"A lateral fracture step-off of 2 mm increases intra-articular pressure following tibial plateau fracture","volume":"53","author":"Oeckenp\u00f6hler","year":"2022","journal-title":"Injury"},{"key":"2026070711142285500_bib8","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1016\/j.injury.2010.08.003","article-title":"Articular step-off and risk of post-traumatic osteoarthritis. 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