Distal Intra Articular Tibial Fracture Treated by Ilizarov with Ligamentotaxis

Abstract

External fixation and ligamentotaxis by either ilizarov or any external fixator is a good and easy method for fixation of distal intraarticulat tibial fracture with few serious complications. due to easy to apply it, less rate of infection, no risk of bleeding since no opening the fracture site, good aligment of the joint, no streaping of the periosteom that lead to later on good and rapid healing of the fracture. Significant bone loss can be effectively treated with the staged method using cancellous auto grafting. Many questions concerning the treatment of this challenging fracture remain open. Although hybrid external fixation was here shown to be safe in the most severely comminuted fractures with soft tissue injury. The introduction of osteoinductive materials into the treatment of fresh fractures has opened up new vistas. As such, this type of injury may be a good indication for such novel treatment, but it may not be ideal scientifically, since there are so many confounding factors.