European Journal of Cardiovascular Medicine

Treatment for high-energy tibial fractures is challenging because they involve open wounds or significant degloving injuries, articular depression, condylar displacement, and the separation of comminuted metaphysis from diaphysis. Using periarticular fine wires in minimally invasive techniques lets small pieces of cancellous bone and intra-articular fractures be fixed in place. These techniques also make it easy to keep an eye on the wound, allow early joint mobilisation and weight bearing, and cause little damage to soft tissues. Materials and Methods: This was an observational study conducted at the Department of Orthopaedics and Traumatology, Owaisi Hospital and Research Center which is attached to Deccan College of Medical Sciences Hyderabad between June 2021 to June 2023 involving a total of 18 cases of complex proximal and distal tibia treated with an Ilizarov ring fixator. The Rasmussen radiological grading system, the Karlsson and Peterson ankle function score, and the Knee Society scoring system were used to evaluate the patients. Results: One patient was 20 years old, six were between the ages of 21 and 30, six were between the ages of 31 and 40, and five were over 40. 17 patients were males, and only one was female. Eleven individuals with tibial platue fractures achieved functional outcomes and an excellent to good knee score. One patient had a fair knee score and functional results. In 3 tibial shaft fractures, 2 had excellent results and 1 had a good result. In 3 pilon fractures, 2 had excellent results and 1 had good results. In our research, three of the eighteen patients experienced a pin tract infection, which resolved with localised antibiotic dressings. One of these patients experienced a pin-tract infection recurrence right before the fixator was supposed to be removed. Conclusion: Complex tibial fractures caused by high-energy injuries are seen more frequently in males in the 3^rd and 4^th decades. Ilizarov external fixation with the use of olive wires gives excellent clinical and functional results in their management with lesser complication rates compared to internal fixation.