Tibial plateau fractures account for approximately 1% of all fractures, with a reported incidence of 10.3 per 100,000 (Elsoe et al., 2015; van Dreummel, van Wunnik, Janssen, Simons, & Janzing, 2015). As in the case reported here, 15% are isolated medial plateau fractures (Wheeless, 2016). Reported in all age groups, there is a bimodal distribution, with younger patients typically reporting high-impact/energy injuries whereas older patients are prone to low-energy, or “insufficiency,” type fractures (Prat-Fabregat & Camacho-Carrasco, 2017; Wheeless, 2016; Yoon, Liporace, & Egol, 2015). Males predominate the younger age groups and females the older, with the peak incidence between 40 and 60 years of age (Elsoe et al., 2015; Yoon et al., 2015). Complex fracture morphology, including those with significant articular step-off, noted as 5 mm or greater, is an indicator for surgery (Manidakis et al., 2010; Wheeless, 2016).