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Objective: The posterolateral(PL)tibial plateau quadrant is laterally covered by the fibular head and posteriorly covered by a mass of muscle ligament and important neurovascular structures.There are several limitations in exposing and fixing the PL tibial plateau fractures using a posterior approach.The aim of this study is to present a novel anterolateral supra-fibular-head approach for plating PL tibial plateau fractures.