European Journal of Cardiovascular Medicine

Tibial plateau fractures are one of the commonest periarticular fractures. These fractures include 1% of all fractures and 8% of fractures in elderly. Motor vehicle accidents account for the majority of these fractures in younger individuals with good bone stock, but in elderly individuals these fractures may result from simple fall due to osteopenic bone. These fractures are associated with high energy violence and extensive soft tissue injury. Each fracture type has its own morphology, treatment considerations and prognosis.  Materials And Methods: This is a prospective study was conducted in the Department of Orthopaedics, Surabhi Institute of Medical Sciences among 30 patients with displaced tibial plateau fractures with posterior column involvement were selected for the study. Patients with tibial plateau fractures with posterior column involvement, closed injury, and age >18 years were included in this study. Patients with fractures with zero columns (pure depression type), pure lateral or medial column involvement without posterior column involvement, open injury, and associated head/chest/abdomen/pelvis/spine injury, patient below 18 years of age, and patient not fit for surgery and not willing for surgery were excluded from the study. Results: In our study, the most of the patients were belongs to 21-30 years old 12 (40.0%). In our study, predominant were males 90% and females were of 10%. Single-column fractures (Schatzker Type IV and Hohl and Moore Type I coronal split fracture), Two-column fracture (Schatzker type IV and type V), Three-column fractures (Schatzker Type V).  In this study majority of patients were Three-column fractures, followed by Two-column fracture and Single-column fractures. Mean duration of surgery time of single column fractures were 61.49 minutes, two-column fracture 80.40 minutes and 103.38 minutes for Three-column fractures Conclusion: Based on this study, we would like to conclude that we were able to achieve acceptable clinical and radiological outcome while managing complex tibial plateau fractures with column specific approach.