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THE TREATMENT OUTCOME OF ILIZAROV FIXATOR FOR THE HIGH ENERGY TIBIAL PLATEAU SCHATZKER TYPE V AND VI FRACTURES

Dr Muhammad Kashif; Dr Khalid Ameer; Dr Naveed Ali Sher; Dr Waqar Ahmad; Dr Umair Abubakar; Dr Izhar Hussain.

Objective: To evaluate the Illizarov external fixation efficacy in Schatzker V and VI tibial plateau fractures due to high energy trauma. Study Design: A descriptive case series. Place and Duration: In the Orthopaedic department of Central Park Teaching Hospital from Dec 2017 to April 2019. Methods: 90 subjects with Schatzker V and VI tibial plateau fractures with high energy codylar fractures were managed by external fixator IIlizarov and surveyed for 12 weeks. Using the knee community score, the radiological association for pin tract infection and functional outcome was measured and rated as if 90/100 the score will be excellent, if 74 to 89 it will be good, 60 to 73 normal and if <60, it will poor. Results: The pin tract infection developed in 8(8.9%) patients. The radiological union was achieved by Eighty-two (91.1%) patients. In 22 (24.4%) patients Functional results were excellent, 56 patients have good results (62.2%), moderate in 4 patients (4.4%), and poor in 8 patients (8.9%). Conclusion: Radiological connection is excellent in 91.1% of Schatzker V and VI tibial plateau fractures V and VI patients treated with Ilizarov external fixing device and with better functional outcome and low pin tract infection rate. Key Words: Tibial plateau fracture, Ilizarov external fixator, High energy Schatzker V and VI.

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