Introduction: Open tibial plateau fractures are associated with
significant soft tissue injuries which increase the risks of
complications and their management is highly challenging. Ilizarov
external circular fixation is an ideal method of treatment when
extensive soft tissue dissection and internal fixation are
contraindicated. This retrospective study aimed to evaluate the midterm
results of managing open complex tibial plateau fractures with
Ilizarov fixator.
Patients and Methods: The study included 27 patients with open
tibial plateau fractures (Schatzker Types V and VI) with a mean age
of 40.56 years. They included 17 males and ten females. Sixteen
fractures were open type III-A and 11 were type III-B according to
the Gustilo classification. Seven cases had associated injuries. Five
patients had previous temporary spanning external fixation. Three
patients were diabetics. Above knee frame extension was done in 14
cases. Assisted wound closure by the frame was done in three cases.
Results: All fractures were fully united with mean fixator period of
18.37 weeks. The average follow up duration was 8.52 years. No
patient developed a deep infection. According to ASAMI score, the
results were evaluated as excellent in nine patients, good in 14
patients, fair in four patients. The overall result was judged as
satisfactory by all patients.
Conclusion: The treatment of complex tibial plateau fractures with
the Ilizarov fixator is safe, versatile, and effective treatment option,
and produces good functional results. It, also, allows early full
weight-bearing and good rehabilitation |
