Vol. 11, Issue 3 (2025)

Introduction: Fractures of the tibial plateau range from simple lateral condyle fractures to severe comminuted metaphyseal fractures associated with varying degrees of articular depression. Management of these complicated fractures remains challenging. The objective in treating displaced fractures is to restore the articular surface anatomy and achieve stable internal fixation, thereby obtaining a painless and stable knee joint with a normal range of motion. This study aims to assess the functional and radiological outcome of surgical management of tibial plateau fractures
Methods: A total of 30 patients with tibial plateau fractures who met the inclusion criteria underwent operative intervention over twelve months and were followed for 6 months. The functional and radiological outcomes were measured using Modified Rasmussen Criteria at last follow-up.
Results: The mean age in the study was 38.93(Range 16-65) years. The most common mode of injury was road traffic accident (66.67%), followed by fall from height (20%). Schatzker type 2 (33.33%) was the most common fracture type, followed by type 4 (26.67%). The mean duration from injury to the time of operation was 6.63 days. The mean Modified Rasmussen clinical assessment score was 25.47, with excellent, good, and fair results in 15, 11, and 4 patients, respectively. Whereas the mean Modified Rasmussen radiological assessment score was 7.47, with excellent, good, and fair results in 7, 21, and 2 patients, respectively.
Conclusion: The treatment goal of tibial plateau fractures should be anatomical reduction, stable fixation, and early joint motion to prevent stiffness and the reduction of complications. These fractures treated with different modalities at our institute have been associated with excellent and good functional outcomes at the end of short-term follow-up.