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Knee Injury - Fractured Tibial Plateau with Fixation Surgery. Several separate illustrations explain the following operative elements: 1. Initial condition prior to surgery shown from an anterior (front) view of fractures to the tibial plateau; 2. Lateral incision with placement of fixation plate and screws; 3. Medial incision with placement of additional fixation screws; 4. Final appearance with all fixation hardware in place securing the fractures.