Management of tibial plateau fracture using the Ilizarov fixator

ABSTRACT

Tibial plateau fracture is a very complicated fracture regarding its management and results of different methods of treatment. In this study we assessed the results of treatment of tibial plateau fracture using the llizarov fixator with or without limited internal fixation. We prospectively studied 33 fractures in 32 patients with tibial plateau fractures. Our results regarding the age distribution of cases and other patients character were comparable to what is mentioned in the literature. Also by studying the variables that affected the results of treatment of these fractures, we found that the type of the fracture, soft tissue injury and knee distraction are the most significant factors and the degree of reduction of the articular surface is not significant in correlation with the end results. The use of the llizarov fixator is a very good method for treatment of tibial plateau fracture. When combined with minimal internal fixation of the articular surface it gives the best results in complicated cases