FRACTURE OF THE MEDIAL TIBIAL PLATEAU WITH CONCOMITANT AVULSION FRACTURE OF THE FIBULAR HEAD

Authors

  • Krsto Nikolikj University Clinic for Surgical Diseases “St. Naum Ohridski”, Skopje, Republic of North Macedonia
  • Labinot Bekteshi University Clinic for Surgical Diseases “St. Naum Ohridski”, Skopje, Republic of North Macedonia
  • Nastov Nebojsha University Clinic for Surgical Diseases “St. Naum Ohridski”, Skopje, Republic of North Macedonia
  • Frosina Gjorceva Nikolikj University Clinic for Gynecology and Obstetrics, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Simon Trpeski University Clinic for Traumatology, Orthopedic Diseases, Anesthesiology, Reanimation, Intensive Care and Emergency Center, Faculty of Medicine, Ss. Cyril and Methodius University

Keywords:

avulsion fracture of fibular head, medial plateau fracture, concomitant injuries

Abstract

Fractures of the medial tibial plateau accompanied by avulsion fracture of the head of the fibula are complex injuries that require careful evaluation and management. This type of injury is commonly observed in high-energy trauma, such as motor vehicle accidents or sports-related incidents. A common injury mechanism for this type of injury is axial compression with varus loading stress, which causes axial loading on the medial tibial plateau and at the same time strain stress in the lateral structures of the knee. Herein, we present a case of a 51-year-old male patient with medial tibial plateau fracture associated with avulsion fracture of the fibular head. This case presents our approach to the diagnosis and treatment of this particularly complex injury. Fractures of the medial tibial plateau with concomitant avulsion fracture of the fibular head are complex injuries that require meticulous approach. The key to success is accurate diagnostics, recognizing the problem and treating each problem accordingly. The goal is anatomical reduction and absolute stability which will allow early motion and mobilization.

References

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Published

2025-04-11

Issue

Section

Case Reports