A retrospective study on the functional outcome of internal fixation in tibial plateau fractures

The tibial plateau is a crucial structure in the knee anatomy. Any fracture of the tibial plateau will affect knee biomechanics and function. The aim of such fracture treatment is restoration of joint congruity and to achieve a good functional range of motion. Surgical treatment of such fractures require careful assessment of the skin condition, odema and presence of neurovascular deficits. We conducted a retrospective study on a total of 50 patients who had undergone internal fixation for tibial plateau fractures, aged between 18-60 years. The functional evaluation was assessed by using Rasmussen's functional scoring system and patients were evaluated at 6 weeks, 12 weeks and 6 months postoperatively. Out of 50 patients, 20 patients were operated by percutaneous cancellous cannulated screws and 22 by ORIF with Plating. Acceptable results were found in 82% of the cases and in addition we had 12% fair and 6% poor results. We found good to excellent results by internal fixation in our study.