Evidence map›Paper›PMID 41191069›Full record

Trial reportInternational orthopaedics2026

Ilizarov external fixation versus open reduction and internal fixation for complex tibial plateau fractures: a prospective randomised comparative study.

Mohammed Akil Chhabu, Mohamed A ElGebeily, Mohamed Amr Hemida, Omar Elgengehy, Elhussein Elgengehy

Abstract readRandomized Controlled TrialComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Trial report in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mohammed Akil ChhabuLancashire Teaching Hospitals NHS Foundation Trust, Preston, UK. Mohammedakil.chhabu@lthtr.nhs.uk.
Mohamed A ElGebeilyOrthopaedic Department, Ain Shams University, Cairo, Egypt.
Mohamed Amr HemidaOrthopaedic Department, Ain Shams University, Cairo, Egypt.
Omar Elgengehy
Elhussein ElgengehyLancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the clinical and functional outcomes of Ilizarov external fixation versus open reduction and internal fixation in the management of complex tibial plateau fractures.

methodsA prospective, randomised comparative clinical study was conducted at two trauma centres including 40 adult patients with Schatzker types IV-VI tibial plateau fractures. Patients were randomly assigned to internal fixation (n = 20) or Ilizarov external fixation (n = 20).

resultsPatients in the external fixation group (Group B) started partial weight-bearing significantly earlier (mean 6.6 weeks) compared to the internal fixation group (Group A; mean 9.6 weeks; p = 0.002). Full weight-bearing was also achieved significantly sooner in Group B (mean 11 weeks) compared to Group A (mean 17.65 weeks; p < 0.001). Healing time, Knee Society Scores, pain, and range of motion were comparable.

conclusionIlizarov external fixation facilitates earlier partial and full weight-bearing compared to internal fixation, with similar healing times and functional outcomes, suggesting its efficacy as an alternative to internal fixation for complex tibial plateau fractures.

Indexed as

Fracture FixationFracture Fixation, InternalIlizarov TechniqueOpen Fracture ReductionTibial FracturesAdultAgedExternal FixatorsFemaleFracture HealingHumansMaleMiddle AgedProspective StudiesRange of Motion, ArticularTibial Plateau FracturesIlizarov external fixationInternal fixationORIFRing fixatorTibial plateau fracture

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.