Figure 1 A 52-year-old man with right-sided tibial plateau fractures after a fall (Schatzker V). (A–C) X-ray and CT scan. (D, E) Operative position and approach. (F) The common peroneal nerve was carefully identified and protected. (G) A wire saw was used to cut the fibular neck. (H) Full visualization of the articular surface and posterolateral tibial plateau was achieved. (I) Standard reduction techniques and bone grafting. (J) A 3.5-mm lateral proximal tibia locking compression plate was used. (K) The fibular neck was fixed with 2 long cortex screws. (L) Radiographic image indicating fracture reduction and the internal fixation. (M) The clinical outcome was excellent.