Abstract: Introduction: Aim of the management of these fractures is to restore and preserve functional, pain free range of movements in the knee by accurate anatomical restoration of the articular surfaces of the tibial condyles
Methodology: In a retrospective-prospective study from March 20015 to March 2016 all patients of tibial plateau fractures type IV,V and VI who admitted in District hospital attached to Gadag Institute of Medical sciences Gadag were enrolled in the study. A total of 77 patients were taken in to this study initially
Results: The commonest mode of injury in the present study is the RTA seen in 43 (68.3%), Followed by fall from height 20 (31.7%). We did not have any complications in type IV fractures treated single plating either in medial or postero- medial group
Conclusion: We suggests the use of MIPPO and mini open reduction - hybrid external fixation technique as an alternative treatment for complex plateau fractures especially if it is due to high energy trauma with bad skin where dual plate osteosynthesis associated with more complications
