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VOL. 8, ISSUE 3 (2026)
Comprehensive clinical, biomechanical, and biostatistical monograph of proximal tibia condyle fractures
Authors
Dr. Devendra Kumar P, Dr. Shailesh Kumar K N
Abstract
Background: Proximal tibial condyle fractures
represent complex intra-articular injuries involving the primary weight-bearing
surface of the lower extremity, demanding precise anatomical restoration to
prevent chronic morbidity and post-traumatic osteoarthritis. Methods: This
prospective 2-year cohort study evaluates functional and radiological outcomes
across 100 proximal tibia fracture cases stratified by morphological type
(lateral condyle 40%, medial condyle 24%, lateral depression 15%, bicondylar
11%, and bicondylar split 10%). Interventions utilized Open Reduction and
Internal Fixation (ORIF), lateral anatomical plates, and medial buttress plates
combined with cancellous screws. Post-operative rehabilitation followed a
strict timeline: 3 weeks of non-weight-bearing in a long knee brace, knee mobilization
at 3–5 weeks, and full weight-bearing at 3 months. Advanced multivariate
logistic regression calculated adjusted odds ratios (aOR) and 95% confidence
intervals (CI) comparing anatomical plating against conservative care and
non-anatomical implants. Results: Anatomical plating achieved exceptional
clinical success, including a 94.2% good-to-excellent Rasmussen functional
score and an 11.4-week mean radiological union time. Multivariate analysis
confirmed that non-anatomical implants significantly increase the odds of
secondary loss of reduction (aOR = 4.82, 95% CI [1.95, 11.9], p = 0.001), while
conservative treatment yields an even higher failure risk (aOR = 11.6, 95% CI
[4.42, 30.4], p < 0.001). Conclusion: Modern site-specific anatomical plating
provides superior subchondral stability, significantly lowering osteoarthritis
rates and cementing its status as the clinical gold standard over traditional
modalities.
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Pages:13-15
How to cite this article:
Dr. Devendra Kumar P, Dr. Shailesh Kumar K N "Comprehensive clinical, biomechanical, and biostatistical monograph of proximal tibia condyle fractures". International Journal of Orthopaedics Research, Vol 8, Issue 3, 2026, Pages 13-15
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