Projects

Tibia plateau fractures are complex knee injuries and have been classified by Schatzker's. The objective of treatment remains
anatomical reduction, and limb alignment with stable fixation.This article is used in posteromedial tibial plateau fractures to evaluate the functional
and radiological outcome using posteromedial approach in prone position. Methodology: A quasi-prospective review of 22 patients with posteromedial
proximal tibia condyle fractures from June 2021 to December 2022 and were followed up for 1 year. Variables assessed included patient
age, type of fracture according to Schatzker's classification, functional and radiological outcome according to Rassmussen's scoring system.
Results: 6 patients out of 22 patients with type IV fracture had a mean radiological score of 18 points while 9 patients with type V fracture had 14
points. 11(91.47%) of them had excellent score and 1 of them (8.3%) had good score, out of 12 patients with Schatzker type IV fracture. 3 of them
(50.0%) had excellent score while the other 3(55.6%) had good scores, Out of 6 patients with Schatzker fracture type V. Of the 4 patients with type
VI fracture, 1(25%) had excellent score and 3(75%) had a good score. Conclusion: The posteromedial approach in prone position (Lobenhoffer
approach and Burks and Schaffer approach) is considered a safe and efficient approach. The approach allows anatomical reduction of the
posteromedial fragment using the posterior buttressing plate while protecting the neurovascular bundle.

Keywords: proximal tibia; Schatzker; posterior approach; prone; buttress plating; internal fixation