Volume 8 | Issue 2 | Aug – Sep 2020 | Page: 2-6 | S. B Kamareddy, Pradeep Kumar Natikar, Mujtaba Hussain Patel
Authors: S. B Kamareddy , Pradeep Kumar Natikar , Mujtaba Hussain Patel [1,2]
 Kamareddy Ortho and Trauma Care Centre, Kalaburagi, Gulbarga, Karnataka, India.
 Department of Orthopaedics, KBNIMS Kalaburagi, Gulbarga, Karnataka, India.
Address of Correspondence
Dr. Pradeep Kumar Natikar,
KBNIMS Kalaburagi, Gulbarga, Karnataka, India.
Background: Tricolumnar plate fixation in comminuted proximal tibial fractures remains a new concept to have a rigid construct and to improve the functional outcome with dual incision. We performed a retrospective study to evaluate the functional outcome of proximal tibial fracture fixation using tricolumn plating.
Objective: The objective of the study was to study the clinical outcome of internal fixation with tricolumnar plating for the treatment of complex tibial plateau fractures.
Materials and Methods: The study was conducted in tertiary care center, Kalaburagi, over a period of 2 years from June 2017 to June 2019. Twenty patients with complex tibial plateau fractures were treated with tricolumnar plating through posteromedial and anterolateral approaches. There were 12 males and 8 females, with an average age of 45.2 years old (ranged, 32–60 years old). Fourteen patients had injuries in the left side and 6 patients had injuries in the right side. According to Schatzker classification, 14 patients were type V and 6 patients were type VI.
According to the three-column classification, all the patients had injuries of lateral, medial, and posterior columns. All the patients were evaluated using the Oxford Knee Score at 6-month and 1-year follow-up.
Results: The mean interval from injury to operation was 9.4 days (ranged, 6–15 days). The bone union time ranged from 4 to 10 months after operation. According to the results of Oxford Knee Score, 14 patients got an excellent result, 3 good, and 3 moderate.
Conclusion: Tricolumnar plate fixation for the treatment of complex tibial plateau fractures is effective to achieve anatomic reduction, rigid internal fixation, and good functional outcome. Careful soft-tissue handling and employing minimally invasive techniques minimize soft-tissue complications.
Key words: Tricolumnar plating, Schatzker classification, Oxford Knee Score.
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|How to Cite this article: Kamareddy SB, Natikar PK, Patel MH | A Study to Know Short Term Outcome of Tricolumnar Plating in Complex Tibial Plateau Fractures | Journal of Karnataka Orthopaedic Association | August-September 2020; 8(2): 2-6.|