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To gain principal insight into fixation techniques of a posteromedial split fragment in bicondylar tibial plateau fractures. A computer simulation was performed, applying the finite-element method (FEM) to compare four methods of fixation of the posteromedial split fragment lateral plate (model 1), lateral plate and kickstand screw (model 2), lateral plate and two antero-posterior lag screws (model 3), and lateral and posteromedial plate (model 4). The displacement of the fragment and material stresses in implants and bone under 2500N