Authors of section

Author

David Barei

Editor

Michael Baumgaertner

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Highlights of proximal tibia

Introduction to the third edition

Publication of third edition (February 20, 2026)

The content of this module was completely updated and expanded by David Barei (US), an internationally recognized and extensively published expert. It was edited by Michael Baumgaertner (US).  Sub-sections were contributed by Andrew Oppy (AUS), and Markku Nousiainen (CA) (intramedullary nailing), and J. Spence Reid (US) (definitive ring external fixation). 

Visit the Proximal tibia module entry page!

Proximal tibia: complete simple articular fracture with fragmentary metaphyseal components fixed with ORIF conventional plating

Highlights

This comprehensive update provides surgeons with the most current, evidence based, and clinically relevant guidance for managing proximal tibia fractures. The module delivers clear, step by step surgical instructions for every stage of care — from diagnosis and decision making to surgical approaches, fixation techniques, and postoperative aftercare. 

Developed and peer reviewed by an international team of expert surgeons, the revision reflects the latest advances in surgical principles, technology, and patient management. It includes detailed procedures for both operative and nonoperative treatment, with major updates to approaches, intramedullary nailing, and ring fixation techniques.

The updated module is exactly what the surgeon needs: a powerful tool that provides detailed guidance on key surgical aspects, such as treatment of medial-sided tibial plateau fractures (always challenging to reduce and fix) together with tips and pitfalls from the expert surgeon authors.

This module covers the treatment options for:
  • Avulsion fracture of the fibular head
  • Avulsion fracture of the tibial tubercle
  • Avulsion fracture of the tibial spine
  • Avulsion of the posterior cruciate ligament
  • Simple extraarticular fracture
  • Wedge or multifragmentary extraarticular fracture
  • Lateral plateau split fracture
  • Medial plateau split fracture
  • Depression fracture
  • Lateral plateau split-depression fracture
  • Medial plateau split-depression fracture
  • Complete simple articular fracture with simple metaphyseal components
  • Complete simple articular fracture with fragmentary metaphyseal components
  • Complete articular fracture with fragmentary lateral plateau
  • Complete articular fracture with fragmentary medial plateau

Ring fixation for treatment of proximal tibia fractures
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