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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: Jun 8, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Three-column fixation for complex tibial plateau fractures.

Cong-Feng Luo¹, Hui Sun, Bo Zhang

¹Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China. cong_fengl@yahoo.com.cn

Journal of Orthopaedic Trauma

|October 1, 2010

Summary

This study introduces a computed tomography-based three-column fixation technique for complex tibial plateau fractures. The approach demonstrated satisfactory reduction and functional outcomes with minimal complications in 29 patients.

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

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Last Updated: Jun 8, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Area of Science:

Orthopedic Surgery
Trauma Surgery
Radiology

Background:

Complex tibial plateau fractures (Schatzker Types V and VI) present significant challenges in treatment.
Traditional fixation methods may not adequately address multiplanar involvement, particularly posterior column fractures.

Purpose of the Study:

To introduce and evaluate a computed tomography (CT)-based "three-column fixation" concept for complex tibial plateau fractures.
To assess the clinical outcomes of a specific column-fixation technique for Schatzker Types V and VI fractures.

Main Methods:

Prospective cohort study involving 29 patients with complex tibial plateau fractures (Schatzker Types V and VI).
Fractures classified as "three-column" based on CT imaging, indicating involvement of lateral, medial, and posterior columns.
Surgical intervention utilized a combined posterior and anterior-lateral approach in a "floating position" to fix all three columns.

Main Results:

Average follow-up of 27.3 months.
Satisfactory reduction achieved in all cases, with one instance of minor postoperative stepoff.
Low complication rates, including no infections or need for revision surgery.
Average radiographic bony union at 13.1 weeks and full weightbearing at 16.7 weeks.
Excellent functional outcomes reported at 24 months, with high Hospital for Special Surgery (HSS) and lower-extremity measure scores.

Conclusions:

The CT-based "three-column fixation" offers a novel and effective approach for complex tibial plateau fractures, especially those involving the posterior column.
The combined posterior and anterior-lateral surgical approach provides safe and direct reduction and fixation for these challenging fractures.