Background: Tibial Plateau Fracture (TPF) is a complex intra-articular fracture resulting from indirect coronal or direct axial compressive forces contributing to 1% of all fractures and 8% of fractures in elderly and is challenging when metaphyseal comminution is associated with osteoporosis and soft tissue injury. Different treatment approaches have been suggested for specific fracture patterns (Schatzker classification). In Schatzker type II and other unstable fractures, open reduction to elevate the depressed fragment through a cortical window in metaphysis, followed by rigid internal fixation with buttress plating along with bone grafts/substitutes is indicated. Present study is thus conducted to evaluate the stability of the internal fixation of proximal tibia fractures using a periarticular raft construct through a locking plate without use of a bone graft or bone substitute for split-depression tibia plateau fractures.

Materials and Methods: A prospective study was conducted for a period of 2 years on 30 patients with Tibial Plateau Fractures (Schatzker type II, III, V, VI and AO/OTA type 41B and type 41C) above age 18 years admitted to SS Institute of Medical Sciences and Research Centre, Davangere. Patients were assessed using Knee Society Score and Modified Rasmussen Radiological Score.

Results: Bony union was achieved at a mean of 8 weeks, with average range of movement 115.66° ± 7.73°. Rasmussen scores were excellent in 15 patients, good in 10 patients, and fair in 5 patients.