采用三柱概念固定胫骨平台骨折的功能结果分析

Functional Outcome Analysis of Fixation of Tibial Plateau Fractures using the Three-column Concept.

作者信息

Sameer M Mohamed, Bassetty Keerthy Chandra, Singaravadivelu V

机构信息

Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

Department of Orthopaedics, Institute of Orthopaedics and Traumatology, Madras Medical College, Chennai, Tamil Nadu, India.

出版信息

J Orthop Case Rep. 2022;12(5):6-10. doi: 10.13107/jocr.2022.v12.i05.2792.

DOI:10.13107/jocr.2022.v12.i05.2792

PMID:36685352

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9826557/

Abstract

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.

摘要