Functional Outcome Analysis of Fixation of Tibial Plateau Fractures using the Three-column Concept
M Mohamed Sameer1, Keerthy Chandra Bassetty2, V Singaravadivelu2
1Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Aim:
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.
Materials And Methods:
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.
Results:
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.
Conclusion:
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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