Fig. 2

The second presented case is a 60-year old patient with an AO type 41-C proximal tibia fracture (a-b) after a fall from under 2 m. Due to soft tissue concerns, a staged procedure was chosen for definitive reconstruction. First, we performed a posteromedial approach. After reduction and temporary K-wire fixation we inserted a Synthes LCP plate for posteromedial osteosynthesis. In the same surgery, we conducted a standard anterolateral approach and horizontal arthrotomy. The main posterolateral fragment was reduced until we reached a stepless result. After insertion of an allogeneic cancellous bone graft, we preformed the fragment fixation with a 4-hole VA-LCP®. Following further consolidation of the soft tissue, we conducted an arthroscopy of the knee and screw osteosynthesis of the eminentia intercondylaris. The images show the postoperative radiologic controls after the final surgery (c) and the image of our radiologic follow-up one year after surgery for VA-LCP® patients (d)