Selvaraj V, et al. - Researchers conducted this study to determine the outcome after internal fixation of tibial plateau fractures involving two or more columns in their center based on the column specific approach. They identified a total of 183 patients with tibial plateau fractures involving two or more columns which were admitted between 2011 and 2016 at their institution; of these 123 patients were included. Based on Modified Rasmussen functional scoring system, excellent results were reported in 73 patients (63.5%), good results were observed in 37 patients (32.2%) and fair results were evident in 5 patients (4.3%). Seventy-one patients (61.7%) had excellent results, 38 patients (33.1%) had good results, 6 patients (5.2%) had fair results in accordance to Modified Rasmussen radiological scoring system. Based on the results, they identify CT scan as mandatory for tibial plateau fractures and recommend the classification of all the tibial plateau fractures according to the three-column classification system. Better functional and radiological outcomes were achieved via using column specific internal fixation.