Abstract: Introduction: Tibia shaft fractures are very common in children usually they are following fall. Generally they are very well treated with conservative management, but surgical intervention becomes mandatory in the presence of unstable, comminuted fractures with poor skin condition and compartment syndromes .
Material and Methods: There were 6 compound comminuted tibia fractures in between age group of 5 – 15 years. All were treated with ilizarov ring fixator application in department of orthopaedics of Pravara institute of medical science (DU) from April 2019 to January 2021.
Results: Early mobilization was initiated in all patients as per pain tolerance by post-operative day 2 or 3. Fracture united in all cases, no residual deformity seen in any case. Mild pintract infection was seen in 3 cases which were treated with regular dressings & oral antibiotics. No delayed union, re fracture, limb length discrepancy was seen in any case, no bone grafting, corrective osteotomy was required in any case. All cases returned to their pre injury functional status. All cases completed their one year follow up. With little initial hesitation all patients well tolerated frame.
Conclusion: Ilizarov ring fixator can be considered as safe effective definitive treatment option for paediatric compound comminuted tibia fractures as its minimally invasive, biomechanically stable, dynamic, versatile treatment modality which promotes not only fracture union but also allows rapid early rehabilitation and functional recovery.
