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Comminuted bicondylar intra-articular tibial plateau fracture which extends across the metadiaphysis (Schatzker VI). Highly comminuted, moderately impacted and displaced tibial plateau fracture involving the medial plateau anteriorly and lateral plateau mid to posteriorly. Fracture fragment separation by up to 1.2 cm. 5 mm articular surface step laterally. Comminution of the tibial eminence and spines. Oblique linear fracture extension into the tibial shaft medially and laterally.
Fat-fluid level in the suprapatellar pouch consistent with lipohaemarthrosis.