A Study to Know Short Term Outcome of Tricolumnar Plating in Complex Tibial Plateau Fractures

Volume 8 | Issue 2   | Aug – Sep 2020 | Page: 2-6 | S. B Kamareddy, Pradeep Kumar Natikar, Mujtaba Hussain Patel


Authors: S. B Kamareddy [1], Pradeep Kumar Natikar [2], Mujtaba Hussain Patel [1,2]

[1] Kamareddy Ortho and Trauma Care Centre, Kalaburagi, Gulbarga, Karnataka, India.
[2] Department of Orthopaedics, KBNIMS Kalaburagi, Gulbarga, Karnataka, India.

Address of Correspondence
Dr. Pradeep Kumar Natikar,
KBNIMS Kalaburagi, Gulbarga, Karnataka, India.
E-mail: drpradeepnatikar@gmail.com


Abstract

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.

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