Advanced Trauma Care With Tricalcium Phosphate Bone Grafts for Tibial Plateau Fractures: A Report of Three Cases.

Advances in implants and biological therapies have significantly improved trauma care, offering surgeons a variety of solutions for complex cases. This study evaluates the outcomes of three patients with complex Schatzker type V tibial plateau fractures, treated with open reduction and internal fixation supplemented by tricalcium phosphate bone void filler. The surgical approach was selected based on the specific fracture pattern. Postoperative outcomes were assessed using the Oxford Knee Score (OKS), Visual Analog Scale (VAS) for pain, and EQ-5D-5L for quality of life. The results indicated high patient satisfaction (mean score of 8.67 ± 2.31) and low pain levels (mean VAS of 2.67 ± 2.31). The mean OKS was 32 (± 8.66), and the mean EQ-5D-5L VAS score was 88.33 (± 16.07). Follow-up assessments revealed a good to excellent range of motion, with no significant complications. No additional articular step-off was observed at follow-up. The study suggests that tricalcium phosphate bone grafts may be a promising biomaterial for enhancing recovery in complex tibial plateau fractures by providing mechanical support and promoting osteointegration.