Proximal tibial fractures, particularly Schatzker type V and VI, represent complex intra-articular injuries often associated with significant soft tissue damage and functional impairment of the knee joint. This prospective study evaluates the functional outcome of bicondylar plating in the management of such fractures.

A total of 30 patients aged 18 years and above with proximal tibia fractures (Schatzker type V and VI) were included and followed for a period of 24 weeks. Functional outcomes were assessed using the Oxford Knee Score, while pain was evaluated using the Visual Analog Scale (VAS). Radiological union and range of motion were also documented.

The mean Oxford Knee Score improved from 22.8 preoperatively to 37.0 at 24 weeks. Pain scores decreased significantly from a mean VAS score of 7.25 preoperatively to 2.15 at final follow-up (p < 0.001). The average time to radiological union was approximately 12 weeks. Functional outcomes were graded as excellent in 30% of patients, good in 66%, and fair in 4%. Minor complications such as superficial infections and stiffness were observed in a few cases. Bicondylar plating provides stable fixation, promotes early mobilization, and yields favorable functional outcomes in complex proximal tibial fractures. It remains a reliable and effective surgical option for Schatzker type V and VI fractures.