Posterolateral approach with osteotomy of the fibular neck. A, Superficial dissection of posterolateral corner. B, Osteotomy and reflection of fibular head proximally with attached biceps femoris tendon and lateral collateral ligament. Flex the knee to relax the common peroneal nerve, lateral head of gastrocnemius muscle, and popliteus muscle. Visualize the joint between to posterior cruciate ligament and posterior border of the iliotibial band. (Redrawn from Solomon LB, Stevenson AW, Baird RPV, Pohl AP. Posterolateral transfibular approach to tibial plateau fracture: technique, results, and rationale, J Orthop Trauma 24:505, 2010.) SEE TECHNIQUE 1.37.