Functional outcome of hybrid external fixator in proximal tibial fractures Schatzker type V and VI with impending compartment syndrome

Abstract

Purpose: To study the functional outcome of Hybrid external fixator in Proximal Tibial Fractures Schatzker type 5 and 6 with impending compartment syndrome.Methods: Prospective Interventional Study: A total of 18 patients with Proximal Tibial fractures Schatzker type 5 and 6 with impending compartment syndrome were included in our study. Out of 18 patients, 8 had Proximal tibial fracture Schatzker type 5 and 10 had type 6. Patients were followed up weekly for first month and monthly for 6 months with both clinical examination and imaging. Clinical outcomes were evaluated using Neer’s rating system for evaluation of knee.Results: The results - bony union, range of movements, and associated complications were assessed. All fractures united in an average time period of 20 weeks. Excellent outcome was noted in 44%, Good in 33%, fair in 11% and failure in 11% cases. 90% of patients had clinical and radiological union in 20 weeks.Conclusion: Hybrid external fixation is a reliable fracture fixation method that leads to satisfactory functional outcomes, while reducing the infection rate and wound dehiscence, allowing arthroplasty to be performed in the future if needed.