MANAGEMENT OF HIGH ENERGY DISTAL TIBIAL FRACTURES WITH CIRCULAR EXTERNAL FIXATOR

Abstract

The high complication rate and poor results associated with open reduction and internal
fixations directs many surgeons to investigate another safe method. The new era of external fixators
were tried by many who found them to be safer with superior results
Patients and methods: Nineteen cases of high energy distal tibial fractures were treated using circular
external fixators with or without limited internal fixation
Results: All cases had united with a mean time of 11.7 weeks, according to the adopted score for
evaluation of this series about half of the cases are located in the good zone
Conclusion: Management of high energy distal tibial fractures with ring external fixators provides
safe and effective method for management of these risky fractures