Technical TrickThe “FCR” Approach to the Knee for the Management of Posterior Tibial Plateau FracturesBerwin, James T. MBBS, Bsc (Hons), MRCS; Donovan, Richard L. BSc (Hons), MBBS; Riddick, Andrew MBBCh, FRCS Ed; Kelly, Michael B. FRCS, (T&O)Author Information Department of Trauma & Orthopaedic Surgery, Southmead Hospital, North Bristol Trust, Bristol, United Kingdom. Reprints: James T. Berwin, MBBS, Bsc (Hons), MRCS, Department of Trauma & Orthopaedic Surgery, Southmead Hospital, North Bristol Trust, Southmead Rd, Westbury-on-Trym, Bristol BS10 5NB, United Kingdom (e-mail: [email protected]). The authors report no conflict of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jorthotrauma.com). Journal of Orthopaedic Trauma: June 2020 - Volume 34 - Issue 6 - p e221-e224 doi: 10.1097/BOT.0000000000001716 Buy SDC Metrics Abstract Summary: 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 using a buttress plate and posterior-to-anterior screws. A “direct posterior” approach through 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 through a single longitudinal incision, by likening it to a commonly performed orthopedic approach, the flexor carpi radialis approach to the wrist. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.