Title
Functional outcomes of proximal tibia fractures in adults using KOOS
Authors
Amol Kawde1, Kartikeya Singh2, Sanjul Bansal1,*, Abhishek Keshav3, Chayan Jain4, Pratima Nagale1, Shrajay Singh Rawat4, Dharmendra Verma1 & Sachin Parmar5
Affiliation
1Department of Orthopaedics, AtalBihari Vajpayee Government Medical College (ABVGMC), Vidisha, Madhya Pradesh India; 2Department of Orthopaedics, LNCT Medical College and Sevakunj Hospital, Indore, Madhya Pradesh, India; 3Department of Orthopaedics, AIIMS, Bhopal, Madhya Pradesh, India; 4Department of Orthopaedics, SAMC and PGI, Indore Madhya Pradesh India; 5Department of Community Medicine, V.K.S. Government Medical College, Neemuch, Madhya Pradesh, India; *Corresponding author
Amol Kawde - E-mail: kawdeamol1997@gmail.com
Kartikeya Singh - E-mail: drkartikeyasingh@gmail.com
Sanjul Bansal - E-mail: bansal.sanjul4@gmail.com
Shrajay Singh Rawat - E-mail: shrajaysingh01@gmail.com
Chayan Jain - E-mail: drchayanj@gmail.com
Pratima Nagale - E-mail: prratimaashokkumar@gmail.com
Abhishek Keshav - E-mail: abhishekforone@gmail.com
Dharmendra Verma - E-mail: dharmendraverma01061995@gmail.com
Sachin Parmar - E-mail: dr.sachinparmar@gmail.com
Article Type
Research Article
Date
Received April 1, 2026; Revised April 30, 2026; Accepted April 30,
2026, Published April 30, 2026
Abstract
Complex intra-articular injuries like proximal tibial fractures need validated patient-reported functional outcomes. Functional outcomes of 30 adults undergoing locking plate ORIF for closed proximal tibia fractures were assessed via KOOS at 1.5, 3 and 6 months postoperatively (September 2022–February 2024). The cohort consisted of middle-aged males (76.7%, mean age 44.33 ± 13.19 years) with the most common fracture patterns being Schatzker Type-5 (46.7%) and Type-6 (30%). Patients experienced bone union at 15.03 ± 1.61 weeks without complications. Overall KOOS scores improved significantly from 6 weeks to 6 months (51.80 ± 8.79 to 85.73 ± 4.65, p<0.001), with sport/recreation function gaining the most (30.83 to 74.50). Open reduction and internal fixation with locking plate constructs improves functional outcomes in proximal tibial fractures, and KOOS can assess mid-term functional recovery across Schatzker classification types.
Keywords
Proximal tibia fracture, schatzker's fracture classification, knee injury and osteoarthritis outcome Score (KOOS)
Citation
Kawde et al. Bioinformation 22(4): 2667-2670 (2026)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
