DOI: https://doi.org/10.36347/sjmcr.2026.v14i06.049

Pages: 1516-1521

Introduction. Tibial plateau fractures most often result from violent trauma. Their management has become largely surgical. The objective of this study was to evaluate the anatomical and functional outcomes of surgical treatment of tibial plateau fractures in the orthopedic and trauma surgery department of the Gabriel Toure University Hospital. Materials and methods. This was a retrospective, single-center, analytical study conducted over a 4-year period from January 2019 to December 2022, involving 70 patients. All patients admitted for tibial plateau fracture who underwent surgical treatment were included. Outcomes were evaluated according to the anatomical criteria of Mazas and Duparc and the functional criteria of Postel Merle Aubigné. Results. A total of 70 cases were collected. The mean age was 44.3 years. There was a male predominance with a male-to-female ratio of 6.7. The most common etiology was road traffic accidents (92.9%). Unilateral tibial plateau fractures were the most frequent (40%). Plate fixation was the most commonly used method, accounting for 90% (n=63) of cases. Infection was the most frequent complication, occurring in 11.42% of cases (n=8). At a mean follow-up of 13.3 months (range 7–25 months), functional outcomes were satisfactory in 82.9% of cases (n=58) and anatomical outcomes were satisfactory in 87.2% of cases (n=61). Conclusion. The various fixation methods used in our setting yielded generally encouraging results.