Background: Tibial plateau fractures are complex injuries that need careful evaluation, classification, and comprehensive management to avoid serious complications. We aimed to assess the epidemiological profile of patients with tibial plateau fractures treated at the B & B Hospital, Lalitpur, Nepal. 

Methods: A retrospective cross-sectional study included 213 patients treated for tibial plateau fractures at the B&B Hospital between 2020 and 2024. We reviewed the medical record data and selected eligible cases. We extracted data on patient demographic characteristics, cause of injury, side of injury, fracture classification, and injury patterns, and analyzed them using descriptive statistics.

Results: A total of 213 patients were recorded. Males accounted for 70.9% of cases (n=151, while females accounted for 29.1% (n=62). The most common cause of injury was road traffic accidents (RTA), accounting for 88.7% (n=189), with riders being hit from behind (45, 23.8%) being the most frequent mechanism. Schatzker Type IV fractures were the most common (26.8%), followed by Type II (21.1%). The majority of fractures occurred on the right side (57.3%). Bagmati Province recorded the highest number of cases (47.4%).

Conclusion: The results showed that tibial plateau fractures were common among males and the age group between 29 to 30 years. Road traffic accidents were the most common cause. The Schatzker Type IV fractures were observed in the highest proportion, with the predominance of the right side. Findings offered important insight into the demographic and injury patterns.
 
Keywords: epidemiology, injury type, road traffic accidents, tibial plateau fracture