Treatment of Proximal Tibial Fracture in Intra-Articular Injury

This protocol addresses proximal tibial fractures that involve the articular surface — intra-articular injuries where fracture lines enter the joint. These fractures range from partial articular injuries (with some intact metaphysis) to those with complete metaphyseal-diaphyseal separation, demanding careful surgical planning to restore joint congruity.

Intra-articular proximal tibial fractures with an intact portion of metaphysis represent partial articular injuries (type B). When the fracture involves complete metaphyseal-diaphyseal separation, the injury is classified as type C. Both patterns share the common requirement for precise articular reconstruction.

Management involves open surgical fixation with direct visualisation of the articular fragments to achieve accurate reduction. The approach addresses intra-articular anatomy under direct vision; the complete technique, fixation strategy, and sequencing are detailed in the full protocol.

• Anatomical reduction of the proximal tibial articular surface
• Fracture union with correct alignment in the coronal and sagittal planes
• Restoration of correct rotational alignment