Functional outcome following hybrid external fixation in the management of proximal tibia fractures type 5 and type 6 schatzker in a tertiary care center

Anoop George; Amal Prabu

doi:10.36948/ijfmr.2026.v08i03.81234

Functional outcome following hybrid external fixation in the management of proximal tibia fractures type 5 and type 6 schatzker in a tertiary care center

Author(s)	Dr. Anoop George, Dr. Amal Prabu
Country	India
Abstract	YPE 6 IN A TERTIARY CARE CENTERINTRODUCTIONThe tibial plateau refers to the flattened articular surface of the upper end of tibia. Thefractures of the proximal tibia involving the articular surface are referred to as tibial plateaufractures (TPF).Fractures of the tibial plateau represent 1% of all fractures and approximately8% of fractures occurring in the elderly. Because of the nature of the trauma and the relativehigh frequency of soft tissue injuries, the rate of complications is high. Complications includejoint stifness, malunion, skin loss, osteomyelitis, amputation and even death. The incidencehas been as high as 50% for joint stifness.Road trafic accidents and fall injuries are the most common causes of high impactfractures and young middle-aged males are the most afected population. It can lead toprolonged disability and has a significant socio-economic efect in this population. Literatureindicates that only 50% better results are achieved with closed or open surgical techniques.Ordinary external fixators may lead to knee stifness and are not suitable for type 5 and 6fractures. ORIF, which was the attractive treatment method since 1990s, reduces the articularsurfaces well but does not protect the surrounding soft tissue. The advantage of hybridexternal fixator is that it protects the soft tissue envelope and allows access to the soft tissuecover during treatment. Additional stability can be attained with the use of cannulated screwsand K-wires which will allow for early knee mobilization.
Field	Medical / Pharmacy
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-06-13
DOI	https://doi.org/10.36948/ijfmr.2026.v08i03.81234

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Functional outcome following hybrid external fixation in the management of proximal tibia fractures type 5 and type 6 schatzker in a tertiary care center

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