case_images: PMC10893992_01
case_images: An anteroposterior (A), lateral (B), and oblique (C) X-ray of the right knee shows a complex bicondylar tibial plateau fracture with significant varus deformity after nonoperative management.
case_images: cureus-0016-00000052913-i01.jpg
case_images: PMC10893992_01_cureus-0016-00000052913-i01.jpg
case_images: FIG1
case_images: X-rays demonstrated a malunion of the bicondylar tibial plateau and depressed medial plateau with possible increased condylar width and varus alignment (Figure 1A-1C).
case_images: Intraoperative X-ray series showing a medial opening wedge proximal tibial osteotomy. Image A shows the elevation of the proximal tibia. Image B demonstrates the placement of the fibula strut. Image C shows the final position of the plate and screws.
case_images: cureus-0016-00000052913-i02.jpg
case_images: PMC10893992_01_cureus-0016-00000052913-i02.jpg
case_images: FIG2
case_images: The medial soft tissue sleeve was elevated off the proximal tibia in a subperiosteal fashion while maintaining the medial collateral ligament (MCL) insertions (Figure 2A). Afterwards, a fibula strut allograft with a plate/screw construct was placed (Figure 2B). Beta-tricalcium bone filler was used to fill the void (Figure 2C).
case_images: One-month follow-up X-rays of the right knee demonstrating intact hardware with appropriate alignment of the knee and fracture fragments.
case_images: cureus-0016-00000052913-i03.jpg
case_images: PMC10893992_01_cureus-0016-00000052913-i03.jpg
case_images: FIG3
case_images: Repeat X-rays demonstrated intact hardware with evidence of healing fracture lines compared to immediate postoperative images (Figure 3A, 3B).