{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T17:59:34Z","timestamp":1781027974126,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: The three-column concept has enhanced understanding of proximal tibial fracture morphology and surgical planning. However, its role as a prognostic indicator remains underexplored. This study evaluates whether column involvement predicts early functional outcome and complications.\n\nMaterials and Methods: A prospective study of 30 patients with proximal tibial fractures treated with open reduction and internal fixation was conducted. Fractures were classified into single-, two-, and three-column injuries. Functional outcomes were assessed using the modified Rasmussen score at follow-up of 8 months. Complications were recorded. Statistical analysis was performed using analysis of variance and chi-square tests.\n\nResults: Single-column fractures showed predominantly excellent outcomes, while three-column fractures had a higher proportion of fair to poor outcomes. A statistically significant association was observed between increasing column involvement and poorer functional outcome (P &lt; 0.001). Complications were more frequent in fractures involving multiple columns, especially three-column injuries.\n\nConclusion: Column involvement is a significant determinant of early outcome in proximal tibial fractures. Increasing fracture complexity predicts poorer functional results and higher complication rates, highlighting the prognostic relevance of the three-column concept.\n\nKeywords: Tibial plateau fracture, three-column concept, functional outcome, prognosis, open reduction and internal fixation.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i06.7436","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T17:03:33Z","timestamp":1781024613000},"page":"248-254","source":"Crossref","is-referenced-by-count":0,"title":["Column Involvement as a Predictor of Early Functional Outcome and Complications in Proximal Tibia Fractures: A Prospective Study"],"prefix":"10.13107","volume":"16","author":[{"given":"Meet Ajay","family":"Mehta","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avik Kumar","family":"Naskar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Kunwar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apurv","family":"Lele","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsh Kapil","family":"Jogi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubham Shivlal","family":"Pawar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Indira Gandhi Government Medical College and Hospital, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T17:03:34Z","timestamp":1781024614000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/06\/column-involvement-as-a-predictor-of-early-functional-outcome-and-complications-in-proximal-tibia-fractures-a-prospective-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i06.7436","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}