Abstract: Objective: To study the posterior tibial plateau fractures patterns and assess the functional outcome of posterior tibial plateau fractures fixations. To define and evaluate the surgical approaches for fixation of these fractures.
Methods: 21 patients who were operated for posterior tibial plateau fractures were included in the study.
Result: 21 patients were subject to follow up for a period of 6 months. After 6 months follow up mean Rasmussen’s knee function grading score was 24.76±3.16, with excellent result in 8 patients and good result present in 11 patients. Only 2 patients have fair score. No patient developed surgical site infection. 1 patient developed common peroneal nerve palsy, 2 patients developed medial laxity and 2 patients developed varus collapse.
Conclusion: Open reduction and internal fixation of posterior tibial plateau fracture gives excellent to good functional outcome. In our study we have 90.4% excellent to good functional outcome. Evaluation and recognition of the posterior tibial plateau fracture pattern is essential. Posterior or Posteromedial approach is required for addressing such fracture pattern.
