Percutaneous inflation osteoplasty for indirect reduction of depressed tibial plateau fractures.

Anatomic reduction of articular depression tibial plateau fractures is challenging. The authors describe a new technique using percutaneous balloon-guided inflation osteoplasty for a depressed lateral tibial plateau fracture. The fluoroscopy-guided inflation osteoplasty restores the joint surface anatomically in a minimally invasive fashion. The metaphyseal void is filled with a fast-setting fluid-phase bone substitute, and a lateral buttress plate is applied with less invasive incisions. This technique is a valid alternative for indirect reduction of depressed articular tibial plateau fractures.