Modified Gerdy tubercle osteotomy in the treatment of posterolateral tibial plateau depression fractures: Technical report and preliminary results

Figure 3 Surgical procedure and intraoperative imaging. A: Exposure of the iliotibial tract; B: Use of a thin osteotome to make an inverted L-shaped osteotomy in front of and below the Gerdy tubercle (arrow); C: Lifting the osteotomy block together with the iliotibial tract upward and backward, clearly showing the depressed fracture (arrow); D: Fixation with Kirschner wires, and placement of an L-shaped locking anatomical plate on the anterior-lateral side of the proximal tibia; E and F: Under fluoroscopy, the fracture reduction is satisfactory and the internal fixation is appropriate.