Purpose: To assess the functional outcome and complications of Bicondylar Tibial Plateau fractures treated with ORIF with Dual plating. 10-30 percent of tibial plateau fractures are bicondylar fractures with comminution or coronal fracture, a single lateral LCP is unable to offer appropriate reduction of the Posteromedial condylar fragment. Despite having varying modes of fixation there is no defined protocol as to when the surgeon has to prefer dual plating.

Methodology: In this prospective study, 30 patients (19-65 years) with bicondylar tibial plateau fractures underwent dual plating between January 2020 and November 2022 in SSIMS and RC, Davangere. Each patient underwent anterolateral and posteromedial plating through two seperate incisions. Standard physiotherapy was administered to all patients. Over a 24-month follow up was done with questionaaires. The Range of motion of the knee joint, and Rasmussen's functional grading system were used to evaluate functional outcomes.

Results: Average fracture union time was 18 weeks. Average Knee Range of movements Flexion 100^o -135^o and 0 -10^o of extension lag). Mean Rasmussen functional grading score of 26.75.