The application of a three-column internal fixation system with anatomical locking plates on comminuted fractures of the tibial plateau.

Aim: The purpose of this study was to describe the operative procedures and clinical outcomes of a new three-column internal fixation system with anatomical locking plates on the tibial plateau to treat complex three-column fractures of the tibial plateau.

Methods: From June 2011 to May 2015, 14 patients with complex three-column fractures of the tibial plateau were treated with reduction and internal fixation through an anterolateral approach combined with a posteromedial approach. The patients were randomly divided into two groups: a control group which included seven cases using common locking plates, and an experimental group which included seven cases with a new three-column internal fixation system with anatomical locking plates.

[Treatment of fractures of the talar neck with hollow compression screw via inner malleolus approach].

Objective: To explore clinical effect of treatment of fractures of the talar neck with hollow compression screw via inner malleolus tomy approach.

Methods: Twelve patients with fractures of the talar neck included 7 males and 5 females with a mean age of 38 years (reaging from 20 to 56 years). According to the Hawkins classification, 8 cases were type II and 4 cases were type II.