Functional Outcome of Bicondylar Fractures of Tibia Treated with Bicolumnar Plating and Uni Columnar Plating with CC Screw Fixation

Background: Proximal tibia Intra articular fractures are complicated fractures to treat. Several modalities of treatment have emerged, still the best treatment modality is debatable. The aim of this study is to study the result of Shatzker type 5 and 6 intra articular tibia fracture treated with bicolumnar dual plating and Plate with screw in terms of union, knee range of motion, infection and functional outcome. Materials and methods: This study is a comparative study of 30 cases of intraarticular proximal tibia fractures classified into Schatzker?s type 5 and 6 classification during the period of 2o23 at our Sanjay Gandhi Institute of trauma. Patients were treated by open reduction and internal fixation with dual proximal tibial plate and single proximal tibia plate and screw, with decision of the implant made by the surgeon. Post - operatively removable knee brace with leg elevation given to decrease the pain and swelling. Quadriceps strengthening exercises started on day two. Intermittent knee mobilization was started once the wound pain subsided, depending on stability of fixation. The patient is followed up at regular intervals of 2, 6, 10 and 16 weeks. KNEE SOCIETY SCORE was used for assessment of functional outcome. Results: There was no significant difference in the alignment of the tibia in both the study groups immediate post - operatively and at 2, 6, 10 and 16 weeks follow up outcomes did not show any. Complication of malunion was not observed, there were no cases of varus or valgus and procurvatum or recurvatum, in any of the patients. Varus alignment was noted post operatively in one patient in single plate with screw group. Conclusion: In the Intra articular fractures of proximal tibia Schatzker?s type 5 and 6, outcome of treatment was dependent upon the fracture type, accurate reduction and stable fixation. The outcome was good when the fracture was properly aligned, fixation was stable and the articular surface was maintained.