Abstract
Background: The three-column classification based on CT images has been introduced to evaluate tibial plateau fractures and classify them more accurately, thereby helping to plan specific treatment for patients.
Objectives: to evaluate the treatment results and draw experiences from the application of the three-column concept in tibial plateau fracture surgery.
Materials and methods: This study included 40 patients diagnosed with tibial plateau fractures treated with internal fixation surgery using the 3-column concept at Da Nang Hospital from March 2022 to July 2023.
Results: 87.5% of patients were of working age, mostly due to traffic accidents (92.5%). Single-column fractures (47.5%) were the most common fracture pattern, while lateral-column fractures accounted for the highest proportion (85.0%), posterior-column fractures accounted for 40.0%. The anterolateral approach was mainly performed (92.5%), the posterior approach accounted for 35.0%. The average surgical time was 81.2 ± 13.5 minutes, the more columns involved in the fracture, the longer the average surgical time, this difference was statistically significant (p<0.001). The rate of satisfactory reduction was 80.0%. 97.5% of patients had primary wound healing without infection. The results of postoperative treatment according to the Larson–Bostman criteria were up to 82.5% of patients achieved very good and good results. At 6 months postoperatively, up to 95.0% of patients achieved excellent and good results according to the Rasmussen scale and 100% of patients had radiographic bone union. 80.0% of patients achieved satisfactory quality-of-life outcomes at 6 months postoperatively. Conclusion: The application of the 3-column concept in the treatment of tibial plateau fractures may assist in injury assessment and surgical planning, particularly in complex fracture patterns. The initial study results demonstrated promising short-term outcomes in terms of functional recovery and postoperative quality of life.
| Published | 2026-09-28 | |
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| Issue | Vol. 16 No. 5 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.5.1669 | |
| Keywords | Gãy mâm chày, phân loại 3 cột, tiêu chuẩn Larson–Bostman, thang điểm Rasmussen, thang điểm SF-36 Tibial plateau fracture, 3-column classification, Larson–Bostman criteria, Rasmussen score, SF-36 score |
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