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This study evaluates the modified Schatzker four-column concept’s effectiveness in managing proximal tibial plateau fractures and its impact on functional outcomes.

May 16, 2026Journal of Orthopaedic Case ReportsOpen Access

Functional Outcomes and Surgical Utility of the Modified Schatzker Four-column Concept in Proximal Tibial Plateau Fractures: A Prospective Observational Study

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Authors

SKSreekanth Kashayi-ChowdojiraoNizam's Institute of Medical Sciences KKK K Kiran KumarNizam's Institute of Medical Sciences PKPankaj KabraNizam's Institute of Medical Sciences

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Prospective observational study evaluates fracture management and outcomes using the four-column concept in tibial plateau fractures, indicating improved recovery.

Key Points

This study evaluates the modified Schatzker four-column concept’s effectiveness in managing proximal tibial plateau fractures and its impact on functional outcomes.
Conducted as a prospective observational study at a tertiary care center from January 2024 to April 2025.
Included 30 skeletally mature patients with closed proximal tibial plateau fractures classified via CT-based modified Schatzker classification.
Functional outcomes assessed with Knee Society Score (KSS) and Modified Rasmussen Functional Score over a minimum follow-up of 6 months.
The most common fracture type was anterolateral with posterolateral involvement (AL + PL) in 10 patients (33.3%).
Four-column fractures showed higher mean Rasmussen scores (27.0) compared to two-column fractures (24.2); KSS significant with P = 0.021 and Rasmussen with P = 0.008.
Dual plating resulted in significantly better functional outcomes than single plating (P < 0.05) with minimal complications, and 86.7% of patients had an uneventful recovery.

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Kashayi-Chowdojirao et al. (2026) studied this question.

synapsesocial.com/papers/6a080a11a487c87a6a40bf45 https://doi.org/10.13107/jocr.2026.v16.i05.7286

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Implication

Prospective observational study evaluates fracture management and outcomes using the four-column concept in tibial plateau fractures, indicating improved recovery.

Functional Outcomes and Surgical Utility of the Modified Schatzker Four-column Concept in Proximal Tibial Plateau Fractures: A Prospective Observational Study

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Key Points

Cite This Study

Functional Outcomes and Surgical Utility of the Modified Schatzker Four-column Concept in Proximal Tibial Plateau Fractures: A Prospective Observational Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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