10/04/2026
🦴 Follow-up Outcome of Tibial Plateau Fracture (Post-Operative – 2 Months)
A case of tibial plateau fracture (Schatzker Type II tibial plateau fracture – lateral split with depression) managed surgically with open reduction and internal fixation.
🔧 Operative Details:
• Approach: Standard anterolateral approach to proximal tibia
• Implant: Proximal tibial locking compression plate (LCP) with rafting screws to support articular surface
• Reduction: Elevation of depressed fragment with restoration of joint congruity
• Bone grafting: Subchondral void filled with bone graft (where indicated)
📅 2-Month Follow-up Findings:
✅ Surgical wound healed well
✅ No evidence of infection or implant-related complication
✅ Radiographs show maintained reduction and alignment
✅ Progressive callus formation noted
✅ Knee range of motion improving with physiotherapy
✅ Patient mobilizing with partial weight bearing support
📌 Discussion:
Early surgical stabilization using a locking plate system ensures articular congruity, axial alignment, and early mobilization, which are critical for preventing long-term complications like post-traumatic osteoarthritis.
Patient is on track for gradual return to full weight bearing as per clinical and radiological progression.
—
Dr. Md. Shafiul Umam Razib
Assistant Professor
Department of Orthopedic Surgery
Cumilla Medical College Hospital
