The 'FCR' approach to the knee for the management of posterior Tibial Plateau fractures.

Three-column fixation of tibial plateau fractures is now an established philosophy. A direct posterior approach with the patient prone affords enhanced exposure of the posterior column and ease of access for fixation via a buttress plate and posterior-to-anterior screws. A 'direct posterior' approach via a reverse L-shaped incision to back of the knee is popular, yet complications associated with raising a fascial flap can occur. We present a simple method of conceptualizing a direct posterior approach via a single longitudinal incision, by likening it to a commonly performed orthopedic approach, the Flexor Carpi Radialis (FCR) approach to the wrist.