Fig. 4

Intraoperative process of the newly proposed treatment. Demonstration of the interaction forces acting on the distal tibia and superior femoral condyle (a, arrow), percutaneous reduction of the depressed fragments (b), the insertion of autogenous bone graft to support the articular surface (c), After reduction and internal fixation under fluoroscopic visualization, arthroscopy revealed a nearly anatomic reduction of lateral articular (d), Seven minimal incisions after the operation, four for percutaneous insertion of plates, one for indirect reduction of depressed fragments and two for arthroscopic inspection (e)