Management of tibial plateau fractures with special reference to column classification

Objective of the paper is to evaluate outcome management tibial plateau fractures with reference Luo’s three column classification concept. The selection surgical approach and appropriate fixation construct was dictated by number distinct articular fragments on CT scans concomitant soft tissue injury. primary measure relationship between involved secondary loss reduction at healing. Secondary defined as a change alignment ≥ 5 degrees into either varus or valgus union. measures were delayed union, non-union, peri-implant fracture infection rates. Functional evaluated using Knee Society Score. Forty-six patients available for final follow up. Immediate postoperative mal-alignment noted in patients. For our measure, we have one patient follow-up double plating group. showed non-union 1 (2.17%), union 3 (6.52%), superficial (6.52%) deep (2.17%). No seen. mean time bone healing full-weight bearing walk 14.5 weeks. range motion affected knees 2.39 131.27 12 months. In sight findings study along existing literature an ideal managing it dictates based fragments. However does not take account integrity tissues, which almost universal association high velocity complex fractures. Hence, repercussions use multiple plates will unfold future long comparative studies addressing bony well complications.