Management of Tibial Plateau Fractures in a Tertiary Care Hospital

Background: The multitude, diversity, and complexity of tibial plateau fractures make them difficult to treat. In theliterature, the indications for non-operative vs operative management differ substantially. Varied surgeons haveadvocated different treatment procedures, with some advocating conservative others advocatingfor aggressive management.Objectives: To compare surgical percutaneous CC screw fixation, ORIFwith plating fixation universal mini external fixator.Methods: After diagnosis 30 patients has been established, patient was informed fracture necessityfor surgery. consent is obtained, pre-operative planning done. Schatzker classification used classifyall Tibial prior a minimum six months post-surgery, were followed upperiodically. functional outcome knee assessed using Rasmussen score society forall who met inclusion criteria.Results: average time union 18 weeks (range from 18-22 weeks). majority thecases, around 50% had by 16th weeks, 40% 18th week. 7% fractureunion 20th week, 3% 22nd week.Conclusion: PCCS or PF + can attain near anatomical repair articular surface plateaufracture. Since they are confined pattern its size, each three procedures employed treattibial own array pros cons.