Increased incidence of proximal tibia fracture is observed in recent years due to increased vehicular trauma and sports related injuries. These fractures are difficult to treat and have high energy mechanism of injury, extensive soft tissue trauma, comminution, intra articular extension presenting with difficulty in reduction and maintenance of reduction. There can be collapse of fracture site, malunion and secondary osteoarthritis. Different treatment modalities are available and multiple studies have been done, but no common consensus has yet been reached. This study was undertaken to study different available modalities of treatment and observe the functional outcome after its implication. 27 patients with proximal tibia fracture satisfying the inclusion criteria were included in the study. Out of 27 intra-articular fracture 5 were treated with closed reduction and cast (CR CAST), 9 were treated with closed reduction and cannulated cancellous fixation (CR CC) and 13 were treated with open reduction and internal fixation with buttress plate (ORIF BP). Functional outcome for CR CAST is highly unsatisfactory with high unacceptability rate, ORIF BP / BP+BG is moderately satisfactory with unacceptability rate, CR CC is satisfactory with a high acceptability rate, ORIF BP is satisfactory with acceptability rate.
Key words: Management of fractures, tibia, functional outcome, type of fractures