Publication:

Functional outcome of postero-medial condyle fractures of proximal tibia treated using posteromedial locking compression plate

Background Tibial plateau fractures are peri-articular knee fractures of the proximal tibia. They comprise approximately 8% of all fractures among those aged over 55 years. Surgical intervention for tibial plateau fractures is essential to achieve articular congruity, proper joint alignment, mechanical stability and support ligamentous integrity, as well as to enable prompt rehabilitation

Methods A 12 months prospective study was conducted from July 2023 to June 2024 at Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh. The study included 30 patients with Schatzker Type IV, V and VI proximal tibial fractures. Fractures involving the medial condyle were treated using a posteromedial locking compression plate.

Results The study included participants aged between 23 to 62 years with the mean age being 36 years (22 males and 8 females).  Schatzker classification Type IV fractures being the most prevalent (14 cases) followed by Type V fractures (10 cases) and Type VI fractures (6 cases). Right-sided fractures were more common, with 20 cases reported, compared to 10 cases of left-sided injuries. The functional outcome was measured using the Lysholm Knee Score according to age, fracture and gender. It was excellent results in 19 patients, good results in 8 and fair results in 3 at six month follow up.

Conclusions Fixation of the tibial plateau fractures using locking compression plates allows for early rehabilitation of the patient and has an excellent functional outcome. Restoring stability, articular congruity and alignment ensures long-term joint health and minimizes complications. A well-planned approach to the tibial plateau fracture with importance to the posteromedial fragment has excellent functional outcomes.