Posterolateral approach with osteotomy of fibular head. Make the plane of the osteotomy parallel to fibular articular surface. Remove the entire fibular head if needed but leave the attachments of the fibular collateral ligament and biceps femoris intact. (Redrawn from Yu B, Han K, Zhan C, et al: Fibular head osteotomy: a new approach for the treatment of lateral or posterolateral tibial plateau fractures, The Knee 17:313, 2010.) SEE TECHNIQUE 1.37.