Management of distal tibial fractures by Ilizarov fixator with or without minimal internal fixation

Abstract

Background: Ilizarov fixator has more advantages in some types of distal tibial fractures as open, type C3according to AO classification and give satisfactory results more than plates and screws fixation because it minimizes complications. The aim of the work: To estimate the techniques, results and complications of Ilizarov in management of distal tibial fractures with or without minimal internal fixation . Patient: During the period from August 2020 through June 2021, a prospective study was conducted on fifteen patients with fifteen tibial plafond fractures treated with Ilizarov fixator. The study consisted of 12 men and 3 women, with an average age of 40 years. The fractures classified according to the AO classification: A1 (6), B2 (2), C2 (2), C3 (5). There were 6 open fractures Treated by Ilizarov fixator with using minimal internal fixation when needed. Results: the overall AOFAS score for the intra-articular group n= (9) was excellent in one case 95.40±5.61, good 84.30±7.24 in 3 cases, fair 73.1 ±13.08 in 3 cases and poor 61.34±6.81 in 2 cases. (44.44% of the intra-articular group) had satisfactory results. The overall AOFAS score for the extra-articular group (n=6) was excellent 95.40 ±6.31 (lowest score 88 while highest was 100) in five cases and good in one case where all six cases (100% of the extra-articular group) had satisfactory results. Conclusion: Ilizarov fixator in distal tibial fractures minimize the complications especially open, Rudy type three, and gives satisfactory results for the patients.

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