Abstract
The aim of this study was to study the functional and radiological outcome after surgical fixation of complex intra-articular tibial plateau fractures managed by three-column concept. Ten patients with complex intra-articular tibial plateau fractures were included in this study. They were classified according to the three-column concept based on X-ray and computed tomography. All of them underwent osteosynthesis after meticulous planning and the columns were addressed using combined approaches. We obtained good to excellent radiological and functional outcomes with the column-based fixation of the intra-articular tibial plateau fractures. About 90% of the patients were able to return to pre-injury level of activity without complications. The posterior column is a vital component of the tibial plateau and needs to be separately addressed. Three-column concept is a beneficial adjunct, especially in complex and biplanar intra-articular tibial plateau fractures, both as a diagnostic and a pre-operative planning tool.
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