Abstract

Background: Tibial plateau fractures are a significant orthopedic concern due to their complexity and the essential role of the tibial plateau in knee stability and function. These fractures can result in long-term impairment and disability if not managed properly. The advent of anatomically contoured locking compression plates (LCPs) has revolutionized their treatment, providing superior stability and allowing for early mobilization. The study aims to evaluate the functional outcomes of tibial plateau fractures treated with anatomically contoured LCPs. Methods: An observational study was done from February 2023 to January 2024, including 250 patients with tibial plateau fractures. Functional outcomes were assessed using the Knee Society Score (KSS), range of motion, and pain levels. Postoperative complications and radiological healing outcomes were documented. Statistical analysis was accomplished using SPSS software. Results: The average age was 45.3 years, with a male-to-female ratio of 3:2. At the 6-month follow-up, the mean KSS was 85.2 (± 10.4), indicating good functional recovery. The mean range of motion was 120 degrees, and the mean pain level was 2.5 (VAS score). 90% of patients achieved full weight-bearing status. Postoperative complications occurred in 12% of patients, with infection (4%), malunion (3%), and hardware irritation (5%) being the most common. Radiological evaluations showed satisfactory fracture healing in 92% of the patients.

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