Intra-articular Fractures: Principles of Fixation

Articular fractures are complex injuries, which require application of basic principles and skills in their management in order to reduce their complications. Coupled with the availability of the latest implants and technology such as newer locking plates, 3D CT scans, 3D fluoroscopic and CT-guided navigation and the partial understanding of the significance of articular congruity, joint stability and early joint movement, we are still in the nascent stages in the process of understanding these injuries completely. Multiple factors like energy of trauma, fracture reduction and fixation, stability of joint and cartilage thickness and elasticity affect the final outcome. More prospective evidence-based multicentre research trial findings are needed to solve the problems that surround articular injuries.