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Open fractures are more common in the tibia than in any other bone, due to its location and tenuous soft tissue coverage. IEF is a step forward in the management of open tibial fractures in the settings where patients present late, have bone loss, and facilities for emergency nailing or bypass plating and assistance of plastic surgery are not available.. The outcome of treatment evaluated by both clinically & radiologically using Johner and Wruh’s criteria. Total 15 patients were included in the study satisfying the inclusion criteria. At the time of initial presentation , Gustillo-Anderson type IIIa &IIIb was encountered in 13 patients(86.66%) while type II was encountered in 2 patients (13.34%). Union was achieved in all patients.The most common complication was superficial pin tract infection (20%)that resolve with oral antibiotics , stiffness of knee 6.67% , stiffness of ankle 13.34% and LLD < 1 cm in 20 % cases.Based on Johner&Wruh’s criteria , the final result was excellent in 2 patients(13.33%) , good in 10 patients(66.67%) , fair in 2 patients(13.33%) ,and poor in 1 patient(6.67% in our study. The IEF is a minimally invasive method which permits effective wound management and early weight bearing. Keyword: Ilizarov external fixator, Johner &Wruch’s criteria, Minimal invasive, Open fracture, Tibia.

Outcome of Primary Ilizarov External Fixator in Gustilo Anderson Type II, IIIa and IIIb Tibial Fractures