The patient came to the emergency room following a road accident. A displaced tibial plateau fracture was clinically diagnosed. The X-ray examination showed the need to treat it surgically. Firstly, reduction of the medial tibial plateau fracture was performed by fixating it with a T-plate, once the medial column was stabilized, the articular surface of the lateral plateau was reduced and it was provisionally stabilized with Kirschner wires and cannulated screw. The metaphyseal region of the lateral tibial plateau was then reduced, and the metaphysis was reconstructed by restoring the lost bone stock through the use of equine derived enzymatically deantigenated bone blocks which were crushed into chips for easier filling of the tissue gap.
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