Ilizarov fixator versus plates and screws for treatment of high-energy tibial plateau fractures | ||||
| SVU-International Journal of Medical Sciences | ||||
| Article 23, Volume 8, Issue 1, January 2025, Page 262-275 PDF (980.04 K) | ||||
| Document Type: Original research articles | ||||
| DOI: 10.21608/svuijm.2025.337130.2022 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Nasr Gafar Ahmed  1; Mohammed Osama Hegazy2; Hazem Mahmoud Hamdy3
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| 1Department of Orthopedic Surgery, Faculty of Medicine, Menufia University, Menufia, Egypt. | ||||
| 2Department of Orthopedic Surgery, Faculty of Medicine, Banha University, Banha, Egypt. | ||||
| 3Department of Orthopedic Surgery, Faculty of Medicine, Helwan University, Helwan, Egypt | ||||
| Abstract | ||||
| Background: Bicondylar tibial plateau fractures stand as severe injuries that need surgical intervention. They are often linked to elevated complication rates as well as suboptimal clinical outcomes. Objectives: To compare ilizarov external fixation and ORIF with plates and screws in treating bicondylar tibial plateau fractures, regarding alignment, stability, complications, and early weight-bearing. Patients and methods: This prospective, randomized controlled trial involved 20 patients aged 20-60 with Schatzker types V and VI tibial plateau fractures. Patients were divided equally into two groups: the open reduction and internal fixation group and the ilizarov group. Outcomes such as limb alignment, joint stability, and complications were assessed, with statistical analysis using SPSS. Results: 20 patients with good functional outcomes by knee society scoring system. Arthritis occurred in 4 cases (40%) in open reduction as well as internal fixation group and 5 patients (50%) in ilizarov group in open reduction as well as internal fixation group 6 cases (60%) did not develop infection, and four patients (40%) had deep infection while in ilizarov group four patients (40%) had no infection and six patients (60%) had pin track infection. In the open reduction as well as internal fixation group six patients (60%) had good union and four patients (40%) had delayed union while in ilizarov group nine patients (90%) had good union and only one patient (10%) had malunion. Conclusion: ilizarov technique facilitated a shorter duration of definitive surgery, less soft tissue dissection, reduced hospitalization, sooner weight-bearing, accelerated healing, as well as decreased overall problems. | ||||
| Keywords | ||||
| Ilizarov Fixator; Plates and Screws; Tibial Plateau Fractures | ||||
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