A basic understanding of the mechanism of fracture production has always aided in the treatment of specific fractures. Tibial plateau fractures are usually caused by high velocity trauma causing valgus or rarely varus force with or without axial loading as in road traffic accidents (Bumper fracture) or fall from a height. Valgus loading in the range of 2250 to 3750-inch pounds produce "mixed" fracture with large variation in the amount and the degree of joint and condylar disruption. This study of surgical management of proximal tibial fractures was conducted in the Department of orthopaedics and during study period, 30 patients were treated for proximal tibial fractures were treated by open reduction and internal fixation with buttress plate and LCP. Out of which 4 cases lost for follow up. All the required data was collected from the patients during their stay in the hospital, during follow up at regular intervals and from the medical records. 30 cases of fractures of the proximal tibia were treated with plate osteosynthesis. The follow up ranged from 6-24 months. Males were predominant. Majority of fractures were due to Road Traffic Accidents. The average age of the affected patients was 40 years. Most of the fractures were closed.

Standard open reduction and internal fixation techniques have been successful in restoring osseous alignment for proximal tibial fractures; however, surgical morbidity, especially soft tissue infection and wound necrosis, has been reported frequently. For this reason, several investigators have proposed minimally invasive methods of fracture reduction. To our knowledge, there have been no studies to assess the functional outcome of these fractures. During study period 30 patients were treated for proximal tibial fractures treated by open reduction and internal fixation with buttress plate and LCP. Out of which 8cases lost for follow up. In the present study there were 26 proximal metaphyseal fractures managed plate osteosynthesis. All the fractures united at an average of 13 weeks. There were 4 excellent, 16 good and 2 fair, 1 poor results. There were 1 patients with superficial infections which healed with regular dressings, no patients (5%) with knee stiffness, 2 patients with knee pain, no patients with delayed union, 1 patient with non union. Plating offers a good treatment option for difficult proximal tibial fractures, because plateosteosynthesis provide improved healing rates, restoration of the articular surface, and decreased complications.