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Abstract
Schatzcker type 2 tibial plateau fractures are common intra-articular injuries. These fractures can be associated with significant depression of articular surface ,usually requiring open reduction, elevation of articular surface and rigid internal fixation. The resultant metaphyseal defect is filled with either cancellous autografts allografts or calcium phosphates to maintain the reduction. Percutaneous fixation and ring fixators have beenused to stabilize these fractures. Autogenous bone-graft harvesting is associated with significant morbidity with reported major complication rate of 8.6% and minor complication rate of 20.6% and there is a limited availability for larger defects. Allografts and bone substitutes are associated with their own problems , The purpose of this study was to review the outcome of split depressed tibial plateau fractures treated by open reduction and internal fixation using buttress plate with and without the use of bone graft