1: J Bone Joint Surg Br 1994 Mar;76(2):285-9 Combined anterior and posterior approaches for complex tibial plateau fractures. Georgiadis GM. Department of Orthopaedic Surgery, Wayne State University, Detroit, Michigan 48201. We report the use of combined anterior and posterior approaches for the reduction and fixation of complex tibial plateau fractures involving a large split posteromedial fragment. In four patients, we used a posterior plate to fix the posteromedial fragment. All fractures united in good position with no significant complications, and all patients had a good range of knee movement. This technique should be considered for complex fractures in which there is a substantial posteromedial fragment (split) component. PMID: 8113294 [PubMed - indexed for MEDLINE] 1: Burks RT, Schaffer JJ. A simplified approach to the tibial attachment of the posterior cruciate ligament. Clin Orthop. 1990 May;(254):216-9.