Der Unfallchirurg
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The classification of tibial plateau fractures is based on morphological criteria according to AO/ASIF and Schatzker or on functional criteria according to Moore. A total of 81 acute tibial plateau fractures were operated on over a 6-year period. The patient data and the operative procedure are given (not including late results). ⋯ Most important are the soft tissue balance, the timing of surgery, choice of longitudinal incisions directly above the lesion, and a stabilization procedure which maintains blood flow and coverage of the fracture. The operative procedures are described including tibial plateau fractures in children and the management of complications. In special situations a conservative treatment is still useful.