Background and Objectives: Advance in mechanization and acceleration of travel have been accompanied by increase in number and severity of fractures and those of tibial plateau are no exception. Treatment modality in these fractures has been a controversial question. The objectives of the study were assessment of the functional outcome of fixation of proximal tibial fractures using cannulated cancellous screws or ORIF with BP/LCP or External fixator, comparing the results of different treatment modalities and at the same time, identifying the complications associated with them.
Materials and Methods: 22 cases of tibial plateau fractures in K.V.G. Medical College, Sulia were treated in from October 2013 to October 2015 with the objectives of precise reconstruction of articular surface, stable fragment fixation and early range of motions Totally 23 patients were treated, among which 6 patients were treated by cancellous screws fixation, 13 patients by ORIF with BP, 3 patients by ORIF with LCP and 1 patient with Hybrid external fixator. The functional evaluation of knee joint was done using modified Hohl and Luck Criteria.
Results: The result revealed most patients were aged between 31–50 years (56.5%) with male preponderance, commonest mode of injury being RTA (86.2%).Schatzker type I fracture was commonest (26.7%).The functional result for ORIF with Buttress plate was excellent in 25.2% of cases and good in 50.1% of cases.66.7% of cases treated with LCP had good functional result. cancellous screws fixation was associated with equal number of good and fair results (33.3%). Commonest complication with operative treatment were wound related (37.5%) followed by knee stiffness (36.36%).
Interpretation and Conclusion: Operative management of tibial plateau fractures will give excellent anatomical reduction to restore articular congruity and rigid fixation to fascilitate early motion thereby reducing post-traumatic OA and achieving optimal knee function.