Management of posterior column tibial plateau fracture via a posterior approach

Abstract

Background: Posterior tibial plateau fracture (PTPF) is a relatively uncommon injury. This kind of fracture appears confusing on initial radiographs because of the small displacement, so it is a special injury pattern. Aim and objectives: the aim of the study was to evaluate the safety and efficacy via a posterior approach in the posterior shearing tibial plateau fracture. Subjects and methods: The study was prospective study carried out in the Department of Orthopaedic surgery, Al-azhar university Hospital in Damietta. This study had been carried out on 24 patients. Results: there is statistically significant difference between immediate post-operative reduction and other post-operative reduction after 6 weeks, 3 months and 5 months. Conclusion: Posterior tibial plateau fracture is relatively rare in tibial plateau fractures. Our study highlights the importance of posterior tibial plateau fracture which was deemed unimportant in the past. Our results highlight the importance of fixation of PTPF and achieving an early and satisfactory functional outcome.