Ilizarov Ring External Fixation for Complex Tibial Plateau Fractures

Area of Science:

• Orthopedic Surgery
• Trauma Management

Background:

• Tibial plateau fractures, particularly Schatzker Types V and VI, represent complex injuries.
• Effective management is crucial for restoring function and preventing long-term complications.

Purpose of the Study:

• To evaluate the clinical, radiological, and functional outcomes of treating Schatzker Type V and VI tibial plateau fractures.
• To assess the efficacy of the Ilizarov ring external fixator with or without minimal internal fixation.

Main Methods:

• A study of 52 patients with Schatzker Type V and VI tibial plateau fractures treated with Ilizarov external fixation.
• Functional outcomes were assessed using the American Knee Society (AKS) score.
• Clinical and radiological union, along with complications, were analyzed.

Main Results:

• The mean AKS score was comparable for Type V (82.8) and Type VI (80.70) fractures, and for closed versus open fractures (p <0.05).
• Road traffic accidents were the most common cause (61.53%).
• 46.15% of fractures were open.

Conclusions:

• Ilizarov external fixation is a safe, cost-effective, and efficient treatment for complex tibial plateau fractures (Schatzker Types V and VI).
• The method yields satisfactory functional and clinical outcomes.