Please explain more, what should be compared: conservatice treatment with surgery by plate? Or just plate with bone transplant plus plate or screw?

no dear Dietrich

I mean comparison between two method of ORIF (anatomical plate and reconstruction plate) as a surgery?

Dear seyed

Anatomic plate to tibial plateau is best suited, allows placement of more screws in the metaphyseal and epiphyseal region, providing more stability than reconstruction plate (it's an exception in the treatment of plateau fractures)

dear dr nelson

thanks  a lot

I agree and appreciate your comments

Anatomical plates are better suited. They allow for better alignment and stability. Some anatomical plates come with combi holes for shaft screws which allows for locking screws placement and thus reduces risk of screw backout and implant failure.