Management of Complex Schatzker Type VI Tibial Plateau Fracture with Concurrent ACL Injury in a Patient with Prior ACL Reconstruction: A Case Report

Introduction: Schatzker type VI tibial plateau fractures are high-energy injuries often associated with significant soft tissue damage, including the Anterior Cruciate Ligament (ACL). These complex injuries require careful management due to their potential for long-term complications. This case report presents a 47-year-old male with a Schatzker type VI tibial plateau fracture and an ACL injury, with a prior history of ACL reconstruction. Case Presentation: The patient presented to the emergency department following a motorcycle accident. Physical examination revealed a swollen and bruised right knee, with considerable pain upon movement. Imaging confirmed a Schatzker type VI tibial plateau fracture, and given the patient's history of ACL reconstruction, a concurrent ACL injury was suspected. Surgical management included Open Reduction and Internal Fixation (ORIF) of the tibial plateau fracture and treatment of the ACL injury. Postoperatively, the patient's condition was stable with controlled pain and good distal joint mobility. Discussion: The management of Schatzker type VI tibial plateau fractures, especially in conjunction with ACL injuries, requires a meticulous and multi-faceted approach. This case emphasizes the need for an individualized treatment plan considering the patient's prior surgical history. Further research is needed to optimize treatment strategies for these complex injuries. Conclusions: ORIF plates and screws gave a good result in managing complex Schatzker type VI tibial plateau fractures associated with ACL injuries. Keywords: Schatzker type VI, Tibial Plateau Fracture, Anterior Cruciate Ligament, ORIF