The use of twin-ring Ilizarov in the treatment of periarticular or intra-articular fractures of the tibia

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Objective The aim of the present study was to report the results of using the twin-ring (TR) module in treatments of juxta-articular fractures of the tibia and the merits of this technique in Menoufia University Hospitals and El-Obour Insurance Hospital over 3 years. Background In juxta-articular fractures of the tibia, the presence of short metaphyseal bone fragments may make the application of an Ilizarov external fixator (IEF) challenging. It may be necessary to bridge the adjacent joint to ensure stable fixation. The TR module is proposed as an alternative method that avoids joint bridging, without compromising the stability of fixation. Patients and methods This is a descriptive retrospective study with data collected from the analysis of medical records of 20 patients admitted in Menoufia University Hospitals and El-Obour Insurance Hospital with a diagnosis of juxta-articular fractures of the tibia over a 3-year period from May 2013 to July 2016. The patients studied were retrospectively analyzed for sociodemographic data, clinical parameters, duration of hospitalization, the application of TR IEF, and clinical outcome according to the knee society scoring system and the clinical rating system for the ankle and hind foot. Results The TR IEF shows more stability, less joint stiffness, and less time needed for both fracture union and physiotherapy. Conclusion When treating selected trauma patients, the application of the TR IEF is suggested as a promising surgical alternative, offering satisfactory outcomes and reduced patient morbidity.