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Back ground In this prospective randomized clinical study, we report results of management of complex tibial plateau fracture shatzker five and sex (type 41C) by Ilizarov external fixator in comparison with internal fixation according to three column classification with average follow up 18 months Patients and Methods In this study we managed 40 cases with complex tibial plateau fracture shatzker five and sex (type 41c). Twenty cases were surgically managed by Ilizarov technique and the other twenty cases were surgically managed by double internal fixation. We compare between both group as regard clinical, radiological results and rate of complications. Results while using Knee society score, the results are the following Regarding ilizarov group the range of knee society score is 31-90 with Mean±SD 76.05±14.86 (11 excellent, 4 good, 3fair, 2 poor) while group with internal fixation the range of knee society score is 44-93 with Mean±SD 73.95±13.38 (8 excellent, 5 good, 3 fair, 4 poor).According to these results; p value is 0.641 with no significant difference between two groups. Conclusion ilizarov is superior when compared with internal fixation as by ilizarov we can achieve more biological fixation especially when there highly comminuted fractures Complications rate was higher in internal fixation group (7cases) while external fixation group complications were presented in (3 cases).

Ilizarov versus internal fixation in management of complex tibial plateau fracture. Which is better?