Low-Energy Trauma-Induced Bilateral Isolated Posteromedial Tibial Plateau Fracture in a Healthy Young Adult: A Case Report.

Introduction: Tibial plateau fractures account for average 1% of all fractures in adults. They mostly related to high-energy trauma in young adult and milder traumatic injuries in elderly due to osteoporosis.

Case Report: In this case, we reported a 28-year-old male patient who admitted to the emergency room with painful and swollen bilateral knees who had fallen on his knees while playing leapfrog. When his friend jumped on his back, he fell on his knees with the forced flexion and valgus of the knee. Plain radiographs of the knees revealed bilateral posterior tibial plateau fractures. Open reduction and internal fixation were the choice of treatment. Full range of motion was allowed but not weight-bearing for 2 months. At 6 months of follow-up, the patient had full range of motion and weight-bearing with no complaint.

Conclusion: We present bilateral posteromedial tibial plateau fracture in a healthy young adult which is not mentioned in the literature before and we want to emphasize that posteromedial approach in the supine position, even for both knees in the same operation session, is appropriate to reach the fracture and reduce it easily.