The medial tibial condyle is the expanded medial proximal tibial platform supporting the medial tibial plateau and medial meniscus. It is broader and more horizontal than the lateral condyle, providing stable load-bearing for the medial compartment. The medial tibial condyle provides attachment for the superficial MCL, the pes anserinus tendons, and the posterior oblique ligament.
Medial tibial condyle fractures are common in valgus knee injuries and high-energy trauma (Schatzker II-VI). Split-depression fractures require elevation of the articular surface and bone grafting. The medial tibial condyle is the reference for tibial plateau slope measurement on lateral X-ray, which influences ACL reconstruction outcomes. Stress fractures of the medial tibial condyle occur in osteoporotic elderly patients from varus loading.
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