Background: Treatment of Split and depressed fracture of proximal tibial plateu has undergone substantial evaluation in recent years from conventional butreessing plates to angled fixed locking plates. This  study was performed in adults to determine the efficacy of open reduction, elevation, lateral knee arthrotomy, Iliac  Tricortical Strut bone grafting and raft locking fixation in comparision to Conventional buttressing T or L plates for intraarticular lateral condyle fractures of tibia ie Schatzer type II or AO Ota 4.1 B3 on union, implant failure and incidence of malalignment, collapse and loss of reduction in patients who sustained an intra-articular fracture of the proximal tibia

Methods: We reviewed the records of 36 proximal tibia that involving split and depression type of lateral tibial condyle fracture Between april 2008 and December 2016. Schatzer type II or AO Ota 4.1B3 fractures in adults having step more than 5 mm and increase in valgus more than 10 degrees were included for study. Group A has undergone low profile raft locked fixation using standard technique whereas Group B by conventional T or L Butrss Plates or Hockey plates. The Radilogical anlalysis was done till follow-up of two year

Results: primary union was still evident in 97.32%. no incidence of  broken plate, infection or collapse no revision surgery. delayed union especially in osteoporotic bones and non locking groupLate Collapses are seen in Group B. 4 Pts had excellent results, 2 had good results and 4 had fair results.

Conclusions: The raft locked fixation with tricortical bone grafts is matching the gold standard method of treatment in our institute for treatment of proximal metaphyseal lateral tibial tibial plateu fractures especially in osteoporotic bones.

Key Words- Schatzer II fractures, Locking plates, Non locking plates, Tricorticl strut grafts.

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Dr Neetin Pralhad Mahajan

Associate Professor, (Orthopaedics)

Flat No. 12, Panchsheel Building, Sir J J Hospital Compound, Bycuula, Mumbai 400008

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