Pediatric Tibial Plateau Fracture-Dislocation: A Case Report

Pediatric tibial plateau fracture-dislocations are extremely rare but can involve serious neurovascular and growth complications, requiring prompt evaluation, appropriate fixation, and long-term monitoring. This is the first case report of a tibial plateau fracture-dislocation in the pediatric population.

A 13-year-old male fell off a motorized scooter, sustaining a tibial plateau fracture-dislocation. He underwent urgent reduction and application of external fixator with subsequent extraphyseal fixation. He had an excellent outcome at both 1-year and 5-year follow-up.

This unusual injury pattern requires thoughtful and comprehensive evaluation, followed by appropriately timed open reduction and stable internal fixation to allow for the early joint range of motion and optimized function. The management of this case serves as an example of how to best approach a rare injury such as this. Patients should be followed until skeletal maturity for potential leg-length discrepancy or malalignment.