Operative management of closed tibial plateau fracture treated with posteriomedial plate with inclusion or exclusion of anteriolateral plate

Abstract

The proximal tibia is involved in body weight transmission though the knee joint and leg, it plays a vital role in the knee joint function and stability. Fractures of proximal tibia have historically been difficult to treat because of its subcutaneous location of the anteromedial surface of the tibia. Severe bone and soft tissue injuries are not infrequent and there is high incidence of open fractures compared to other long bones. This study was a prospective study done on 20 consenting cases of closed tibial plateau fractures who were admitted with posteriomedial plate with inclusion or exclusion of anteriolateral and have come for follow up during the study period chosen based on the inclusion and exclusion criteria. In our study Average time for union of fracture was 18 weeks (range from 16-24 weeks). In our study two patients developed knee stiffness One patient with knee joint stiffness is due to lack of postoperative mobilization .Second patient developed knee stiffness due to patella fracture treated with TBW and physiotherapy and regain 900 of flexion.