Abstract: Background: Tibial plateau fractures are one of the common intra-articular fractures,. Advances in mechanization and acceleration of travel have resulted in increase in road traffic accidents which is associated with increase in number of tibia plateau fracture. In the younger population, these injuries are associated with an increased incidence of complications like, infection, restriction of motion, and loss of reduction (2). The study aimed to determine the functional outcome of surgically managed proximal tibia plateau fracture.
Methods: 46 cases of proximal tibial fractures were treated by using open reduction and internal fixation and studied from January 2021 to December 2022 in at our institute.
Results: All the selected 45 cases were followed up. The average time for union of fracture was 14 weeks ranging from 18-20 weeks? Full weight bearing was not permitted for minimum 12 weeks or until radiological signs of fracture union. An average mean time for achieving range of motion was around 7 days with ranging from 4-13 days. We observed cases of postoperative complications that included infections, persistent pain, stiffness and loss of reduction.
Conclusions: Surgical management of proximal tibia plateau fractures with various modalities like cancellous screw, buttress plate, locking compression plate etc depending upon the fracture type gave good reduction, stable fixation to maintain articular surface and to achieve early mobilization to provide optimal knee function and reduced post-operative complications.
