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Purpose <p>To compare the clinical and functional outcomes of Ilizarov external fixation versus open reduction and internal fixation in the management of complex tibial plateau fractures.</p> Methods <p>A 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 (<i>n</i> = 20) or Ilizarov external fixation (<i>n</i> = 20).</p> Results <p>Patients 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; <i>p</i> = 0.002). Full weight-bearing was also achieved significantly sooner in Group B (mean 11 weeks) compared to Group A (mean 17.65 weeks; <i>p</i> &lt; 0.001). Healing time, Knee Society Scores, pain, and range of motion were comparable.</p> Conclusion <p>Ilizarov 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.</p>

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

  • 期刊论文

  • 发表日期：

    2025年11月5日

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

摘要

Purpose

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

Methods

A 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).

Results

Patients 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.

Conclusion

Ilizarov 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.