A prospective study on clinical, functional and radiological outcome of proximal tibia fractures treated with internal fixation by plating

Abstract

Background: Proximal tibia fractures are one of the most common fractures encountered. Anatomical reduction, joint reconstruction, and good primary stability are among the surgical goals in order to enable early functional rehabilitation.Methods: In this study we have attempted to evaluate the clinical, functional and radiological outcome of internal fixation by plating in proximal tibia fractures. We included 31 patients in our study, that were treated by internal fixation by plating. Patient follow up was done over a period of 2 weeks, 6 weeks, 12 weeks and 24 weeks to assess the functional outcome, fracture union and complications. Results: The results were evaluated using the Honkonen Jarvinen Criteria and the Lysholm Knee Score. Conclusions: We concluded that proximal tibial locking plates are an effective tool for stabilising intra-articular tibial plateau fractures, When used in conjunction with careful intra-operative treatment of soft tissues and active patient engagement in the rehabilitation programme.