Three column theory in distal forearm fractures:

Rikli and Regazzoni proposed a three-column biomechanical construction forming the distal radius and the distal ulna to guide surgical fixation . In their theory, the intermediate column consists of the lunate fossa and the sigmoid notch, which is vital to transmit the load in the wrist. Anatomically, the sigmoid notch of the distal radius where the triangular fibrocartilage complex (TFCC) origins from, articulates with the convex ulnar head . This means that any incongruency of the sigmoid notch and the ulnar head may lead to pain or dysfunction of the distal radioulnar joint . Many studies have reported that distal radius fractures need anatomical reconstruction, stable fixation, and early function as any other intra-articular fractures , especially in fractures of the intermediate column of the wrist. It is widely believed that there is a close correlation between anatomical results and functional outcomes