Abstract: Background: Intra articular fractures of proximal tibia are difficult to treat. Age, skin conditions, osteoporosis further increase the obstacles in the healing process. Various modalities of treatment are available but no ideal treatment has yet evolved. The aim of this study is to study the result of tibia plating in intra articular tibia fracture in terms of union, knee movement, infection and functional ability of the patient.
Materials and methods: This is a prospective cohort study of 30 cases of intraarticular proximal tibia fractures, aged >18 years during the period 2018-2019 in our hospital. Fractures classified according to Schatzker Classification All are treated by open reduction and internal fixation with proximal tibial plate and screws, Post-operatively Above knee slab or removable knee brace with leg elevation given to decrease the pain and edema. Static quadriceps exercises and ankle pump exercise started on second day. The patients with stable fixation were allowed intermittent knee mobilization once the wound pain subsided, depending upon type of fracture. The patient is followed up at regular intervals of 4, 8, 12 and 16 weeks. The functional outcome is assessed at the end of 16 weeks by KNEE SOCIETY SCORE.
Results: We had 73.33% excellent results, 20% good results, 6.66% fair results.
Conclusion: In our study type V is the most common type of fracture pattern. Lateral locking plate with rafting screws provides support for postromedial and posterolateral fragments. Locking plate provides better stability than conventional buttress plating.
