Introduction: Treating difficult non-unions with the Ilizarov technique has been the gold standard method for the last few decades. Here we have used Ilizarov for treating complex tibial fractures. The temporary management of compound fractures of the tibial diaphysis is commonly done with provisional external fixators which is followed by internal fixation. Ilizarov can also be used as a definitive fixation method besides it is more superior and can be the primary and definite choice of fixation where expertise is available.
Materials and Methods: This was a prospective study conducted between august 2020 to august 2021 were 30 patients participated. Patients with complex tibial shaft fractures willing for regular follow up and surgical procedure were part of this study. All 30 0articipants were assessed for fracture union radiological and clinically using ASAMI functional and radiological score. The patients were evaluated at regular intervals until fracture union is observed.
Results: From total of 30 patients 90% (26 patients) of fracture healed after Ilizarov ring fixation. The frame removed on an average of 177 days from the point of original injury. The healing time of closed fractures was a mean of 164 days. The open fracture healed in a mean time of 212 days. We encountered non-union in 4 patients after primary fixation. All the 4 cases were high velocity injury, classified under 42C2 or 42C3. All the 4 cases were open fractures.
Conclusion: Ilizarov ring fixation is a versatile management option for the management of complex tibial diaphyseal fracture which also helps to manage and correct limb length discrepancies, correction of deformity in sagittal and coronal plane, along with managing fracture with bone gap and bone loss.