Tibial plateau is one of the most important weight bearing surface. Fractures of the tibial plateau are most commonly a result of high energy trauma. They principally affect young adults. It involves a diverse group of fractures. Surgery is warranted in most of the cases. Limb alignment and articular surface restoration, allowing early knee motion, are the main goals of surgical treatment. Open reduction and internal fixation (ORIF) is the gold standard treatment.
Method and Materials: We prospectively analyzed the functional and radiological outcomes of 25 surgically treated tibial plateau fractures. Fractures were classified with Schatzker’s classification. Preoperative radiographs and CT were taken. ORIF with LCPs fixation was done. All the patients were followed for 18 months. Functional outcome was evaluated with modified Rasmussen’s criteria.
Results: After treating with ORIF and locking plates, All patients were started with non-weight bearing walking on POD 1 along with QSE and knee range of movement exercises, partial weight bearing by 3 weeks and Full weight bearing by 4 months. Majority of the patients gained full functional outcome (knee flexion of 130 deg) by 6 months. 24 cases had full radiological reduction, 1 case went for nonunion and required bone grafting. None of the patients had neurovascular complications. Modified Rasmussen’s criteria showed excellent functional outcome in 22, good in 2 and fair in 1 case.