[Dislocation fracture of the head of the tibia. II. Therapeutic procedure]

Fracture dislocations of the tibial plateau have associated pathology including ligament- and meniscus tears. They therefore require different treatment than split- or impression fractures. The operative and nonoperative management depends on the soft tissue injuries including ligament tears and depends also on the functional requirements of the patient. Surgical approach, operative time and protection of vascular supply of soft tissue and bony fragments are the main factors influencing postoperative complications and outcome. The different fracture dislocation types according to the Moore classification require specific types of treatment. This includes open reduction with internal or external fixation as well as arthroscopy.