IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-3-18364 Original Research Paper RETROSPECTIVE STUDY ON CLINICAL, RADIOLOGICAL AND FUNCTIONAL OUTCOME OF TIBIAL PLATEAU FRACTURES TREATED WITH LOCKING COMPRESSION PLATE Dr. March 2019 8 3 01 02 ABSTRACT

Proximal tibial fractures, one of the commonest intra articular fractures. Incidence of these fractures is increasing due to road traffic accidents. At the same time surgical treatment options for the same are also being modified continuously. Any fracture around the weight bearing joint like knee joint is of paramount importance as it would result in significant morbidity. Hence the treatment of proximal tibial fractures has become a challenge for the orthopaedic surgeons. Methods: During the study period 31 patients were treated with locking compression plate on lateral side through anterolateral approach for varying types of tibial plateau fractures. Out of 31, 28 patients were available at final follow up. The functional and radiological outcome assessed with Rasmussen scoring system. At the end of study stability of the knee joint assessed with standard stability tests.Results: Most of the patients were sustained injury following major road traffic accidents and most of them were males. At final follow up the functional outcome was excellent in 65 % of patients and good to fair in 35% of patients. No patient had poor functional outcome, though 10% of patients had poor radiological outcome. At the end of study 3 patients had posterior laxity, 2 patients had lateral meniscal injury and 4 patients had varus laxity.Conclusion: The functional outcome of tibial plateau fractures treated with single lateral locking compression plate was satisfactory in all our patients. All patients had acceptable clinical outcome though few patients had poor radiological outcome. We found 32% of patients with instability at the end of our study