Result: After availability of CT scans, bi-condylar plating was done in 04 cases, antero-lateral plating with bone grafting was done in 02 cases, antero-lateral plating was done in 01 cases and postero-medial plating was done in 01 case. These were the cases which were included in, drastic change‟ category.

Conclusion: Plain radiographs are indispensable for initial evaluation of patients with acute knee trauma, they should not be replaced by CT scan. Rather CT scan should be used to supplement the plain radiographs for better diagnosis, pre-operative evaluation. Antero-lateral plating planned on X-ray had most “Drastic change” in management plan to include Bone grafting or to undergo Bi-condylar plating after CT scan.