Abstract: Background: Tibial plateau fractures are a challenge, although they have widespread incidence since they are often associated with soft tissue lesions. They are typically caused by high-speed injuries and in young age groups, they become a severe socio-economic burden for the family.
Objective: Evaluation of the clinical outcome of patients with proximal tibial plateau fractures, in particular medial condyle fractures, treated with posteromedial lock compression plate.
Methods: Patients meeting the inclusion criteria were chosen and a full comprehensive history and clinical review were collected to determine associated soft tissue fractures, neurovascular disorders and compartment syndrome. The scientifically suspected pathology was confirmed by x-rays and MRI scans. Using the Schatzker classification, all Tibial condyle fractures were classified preoperatively. The patients underwent postoperative follow-up after a period of six months after surgery. The patients who had completed the inclusion criteria were evaluated to use the Rasmuseen score and knee society score to determine the functional outcome of the knee.
Results: Male predominance was observed with males being 80% and females were 20%. The male: female ratio was 4:1. Majority of the patients around 36% belonged to the age group of 21 to 30 yrs. The mean age was (mean + SD) 40.5 + 11.69 yrs. By Schatzker classification of fractures of tibial plateau, the majority around 48% had Type IV fracture, 32% had Type V and 20% had Type VI fracture. In Majority of the cases after successful surgery around 68% had no complications, In 12% of the cases they had superficial infections and in another 12% of the cases they had knee pain post op. Knee stiffness was seen in 8% of the cases.
Conclusion: Posteromedial tibia fixation helps early healing of the patient and has an outstanding functioning outcome with reduced incidence of complications. The well-planned approach to tibial plateau fracture with importance to the posteromedial fragment has impressive functional outcomes.
