Importance of MDCT for evaluating proximal tibia fractures

Proximal tibia fractures are most challenging fractures treated by surgeons, usually caused mainly due to high velocity trauma as motor vehicle accidents, sports injuries , due to varus or valgus load with or without axial loading or high energy trauma. Early diagnosis and better visualisation through recent radiological modalities can result in good prognosis in form of anatomical reduction and osteosynthesis and preventing impending compartment syndrome and later joint stiffness ,early mobilisation and finally good outcomes in form of patient and surgeon satisfaction. Initial diagnosis is usually made with plain skiagram in both anteroposterior and lateral views. NCCT knee with 3d reconstruction are newer modalities which help surgeon in planning for maintainance of articular surface and bone fragments than plain skiagrams. Material and Methods: 30 patients were included in the study with isolated proximal tibia fractures. MDCT with plain skiagram was performed for deciding management as per Schatzker classification and were planned and managed accordingly. Results: Out of thirty patients, majority of the patient classified as schatzker type 2. The patients were managed accordingly as per fracture pattern. Conclusion : The importance of MDCT for proximal tibia fracture is very crucial in diagnosing as per classification and for better planning.