Preoperative and intraoperative images. Preoperative X-ray (A) and CT scan (B, C) and three-dimensional CT reconstruction (D) of a 52-year-old patient, showing the main displaced fragment located at the posterior half of the lateral tibial plateau and a transverse fracture line (case 4). Clinical photographs showing the incision (E), anterior wedge-shaped osteotomy (F), hinging back of the anterior fragment and exposure of the depressed articular segments (G) and reduction of the PL fragment with a rasp (H). Reduction was maintained with temporary transcutaneous Kirschner wires, and fluoroscopy was used to verify the reduction (I, J). Before screw placement, the drill bit could be left in the drill hole as a marker for fluoroscopic confirmation of the vector and depth. The most posterior screw was placed first; otherwise, it could not be seen on fluoroscopy (K, L). The position of the plate is shown in (M, N, O).