Project overview
This prospective observational study evaluated the functional outcomes of proximal tibial fractures treated using a column-specific fixation strategy based on the three-column model (medial, lateral, and posterolateral). Conducted at a tertiary care center, 23 patients aged 18–70 years with closed fractures underwent CT-guided classification and surgical fixation tailored to the involved columns. Functional progress was monitored using the Modified Rasmussen Score and Visual Analog Scale (VAS) for pain. At six months, nearly 96% of patients achieved “Good” or “Excellent” outcomes, with significant reductions in pain. Complication rates were low, including minor occurrences of knee stiffness, DVT, infection, and foot drop. The tailored fixation method resulted in satisfactory union and functional recovery, particularly in complex, multi-column injuries. The study supports the utility of the three-column framework in achieving biomechanically stable repairs and effective rehabilitation, emphasizing the value of individualized surgical planning based on detailed imaging.
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