Tibia plateau fractures are mainly caused by high energy mechanisms such as motor vehicle accidents, sports injuries, fall from height. Post traumatic or secondary osteoarthritis usually develops after fracture of the tibial plateau as a result of the alteration of the osseous anatomy leading to altered knee mechanics and loss of cartilage and bone1. Treatment option of these fractures include osteosynthesis with a cannulated cancellous screw with or without a bone graft, plate and screw fixation with a locking or non locking plate and external or illizarov fixator4. Plates are placed firmly against the cortex, periosteal blood supply gets hampered, which may lead to necrosis of underlying bone5. To overcome this drawback, limited contact and point contact plates were developed to preserve the periosteal blood supply6.
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