What’s New and Relevant in Proximal Tibia Fractures?

Proximal tibia fractures include fractures of the tibia plateau and metaphyses and are relatively common injuries. The goals of treatment follow AO principles of anatomic reduction of the articular surface, restoration of limb alignment, length, and rotation. Despite notable advancements in implant design, management of proximal tibia fractures remains formidable. These fractures manifest as comminuted, intra-articular complexities, compounded by the inherent fragility of the osteoporotic bone, thereby rendering fixation a particularly intricate risk. In the realm of geriatric trauma, where comorbidities abound, therapeutic decision-making becomes a nuanced endeavor. We have aimed to bring together all the recent advances and literature in the management of proximal tibia fractures through this article.