ArticleJournal of clinical orthopaedics and trauma2025
Role of primary Ilizarov ring fixation for Schatzker Type V and VI bicondylar tibia fracture in tertiary care centre.
Article in Journal of clinical orthopaedics and trauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Proximal tibial fractures of Schatzker Type V and VI are complex, high-energy injuries with significant soft tissue compromise and articular depression. Conventional methods like ORIF often carry high complication rates. The Ilizarov ring fixator, being minimally invasive and biomechanically stable, offers a valuable alternative. This study evaluates the role of primary Ilizarov fixation in these fractures, focusing on functional and radiological outcomes, along with complications during follow-up. Methods: This prospective study included 30 patients (18-70 years) with Schatzker Type V and VI fractures treated with primary Ilizarov fixation at a tertiary center in Indore. Exclusion criteria were floating knee, pathological fractures, Schatzker Type I-IV, and other limb injuries. Preoperative evaluation used X-rays and 3D CT. Reduction was done via closed or minimally invasive methods, followed by Ilizarov application. Patients were followed at 2 weeks, 1, 3, and 6 months. Outcomes included KOOS, ROM, radiological union, and complication rates. Results: At 6 months, 56.67 % had excellent KOOS outcomes, 26.67 % good, and 16.67 % fair. Radiological union occurred within 4 months in 66.67 %, and by 6 months in 30 %. One non-union was managed with corticotomy. Complications were minimal, with 23.33 % pin tract infections and 6.67 % malalignment. Early mobilization improved ROM and recovery. Conclusion: Primary Ilizarov fixation is a safe, effective option for managing Schatzker Type V and VI tibial plateau fractures. It permits early weight-bearing, preserves soft tissue, and yields excellent functional and radiological outcomes with minimal complications, making it a preferred choice in complex fractures with compromised soft tissue.
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