Authors : Prashant Upadhyaya, Jayant Sharma, Ajay Mandloi
DOI : 10.18231/j.ijos.2022.027
Volume : 8
Issue : 2
Year : 2022
Page No : 154-161
Background: Tibial condyle fractures become more challenging when they present with damaged soft tissue. Our aim is to evaluate such fractures with Ilizarov ring fixator along with our modified technique to give better outcome.
Materials and Methods: Our study included 54 cases with proximal tibia fracture treated with Ilizarov by same surgeon and team from December 2017 to May 2021.
Results: Mean time for radiological union was 24.37 weeks (15 to 35 weeks). Ilizarov fixator we have removed 21 days after radiological union. Functional score was calculated using two scores: Hohl and Luck score, and Lyshom’s score. 12 has excellent, 28 good, 14 were fair and no patient with poor result. Mean Lyshom’s score was 81.73. Knee range of movement in maximum patients were 0 to 110 degree. There was few complications, like, Extensor lag which got corrected with physiotherapy. Pin tract infection which healed with few dressings.
Conclusion: Ilizarov ring fixator is an excellent option for Tibial Plateau fractures as a definitive surgery especially with damaged soft tissue. And with our modification we can achieve perfect joint alignment and early weight bearing.
Keywords: Ilizarov fixator, Tibial condyle.