Abstract

Fractures of the tibial condyle pose further difficulties when they are accompanied by soft tissue injury. We intend to assess these fractures using an Ilizarov ring fixator in conjunction with our modified approach in order to get improved results. Material and Methods: This study has a total of 10 cases with compound comminuted tibia that were treated utilizing the Ilizarov technique at the Department of Orthopedics, Kakatiya Medical College/ MGM hospital in Warangal, Telangana, India. The data collection period for this study spanned from January 2022 to January 2023. In the preceding 28-month period, an examination was conducted on the management of ten instances of compound tibial comminuted fracture utilizing the Ilizarov technique. Result: Although tibial nailing is widely used, it is not without its own set of difficulties. Malunion is observed in around 37% of tibial nailing procedures, with a higher incidence observed in cases of fractures occurring in the proximal region of the tibia. The presence of severe comminution exacerbates the complexity. A total of 10 fractures in the proximal tibia were treated with an Ilizarov fixator, with just one instance of malunion. The insertion of intramedullary nails has been demonstrated to disrupt blood flow in the diaphyseal cortex. The ongoing discussion revolves around the utilization of reamed and unreamed intramedullary nailing due to their differing degrees of adverse impact on cortical bone circulation. The presence of an open fracture in patients carries substantial implications. Necrosis of diaphyseal bone occurs as a consequence of the disruption of the intramedullary blood supply. Conclusion: The Ilizarov ring fixator is a highly suitable surgical intervention for Tibial Plateau fractures, particularly in cases where there is significant soft tissue damage. By implementing our proposed adjustment, we can attain optimal joint alignment and allow for early weight bearing

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