Role of hybrid external fixator in proximal tibial fractures: A prospective analysis

Abstract

Introduction: The proximal tibial fractures are associated with high energy trauma and present with difficulty in treatment due to poor skin condition. In our study, we have operated 32 patients with hybrid external fixator for definitive treatment of these fractures. This technique gives good reduction, adequate stability, early mobilization and less complications. Aim: To assess the functional and radiological outcome after application of hybrid external fixator in proximal tibial fractures. Material and Methods: Prospective analysis of 32 patients was done with proximal tibial fractures classified according to Schatzker classification in our institute who were treated by application of hybrid external fixator. Results: In our study, Road traffic accident was the most common mechanism of injury (n=23). There was a male preponderance (n=23) in our study. The mean age was 39.2±11.0 years. Functional and radiological outcome was assessed using Rasmussen functional and radiological criteria at final followup. 16 patients had an excellent functional outcome and 13 patients had excellent radiological outcome. Superficial pin tract infection was seen in 4 patients which healed uneventfully. Varus malalignment was seen in 2 patients. Conclusion: Hybrid external fixator is a simple way to treat proximal tibial fractures with a low complication rate and good clinical outcomes.