Birajdar Anteshwar, Kumar Sushant, Kaneria Setu, Gupta Archit, Shinde Omkar, Gurnani Sagar
Department of Orthopaedics, Dr. DY Patil Medical College and Hospital, Pimpri-Chinchwad, Maharashtra, India.
J Orthop Case Rep. 2025 Jun;15(6):86-91. doi: 10.13107/jocr.2025.v15.i06.5674.
Tibial plateau fractures are commonly managed using open reduction and internal fixation (ORIF) techniques. However, external fixation through minimally invasive methods has emerged as an excellent alternative, especially for complex fracture patterns. This study focuses on evaluating the clinical and radiological outcomes of Schatzker type V tibial plateau fractures treated using the Ilizarov external fixator, highlighting its safety, effectiveness, and potential advantages over traditional approaches.
A 38-year-old male presented to the emergency department following a road traffic accident, complaining of acute pain and tenderness over his left knee, which had persisted for 12 h. Radiographic examination revealed a left tibial plateau fracture classified as Schatzker type V. Given the complexity of the fracture, the Ilizarov external fixator was selected as the treatment method. The procedure aimed to achieve stable fixation while minimizing soft-tissue damage, promoting early mobilization, and reducing the risk of complications.
The Ilizarov technique proved to be a safe and effective treatment option for managing proximal tibial fractures of the Schatzker type V variety. Its minimally invasive nature is associated with low morbidity, making it a reliable alternative to traditional ORIF, especially in complex cases. The clinical and radiological evaluations confirmed satisfactory outcomes, reinforcing the utility of the Ilizarov method in complex tibial plateau fractures.
胫骨平台骨折通常采用切开复位内固定（ORIF）技术进行治疗。然而，通过微创方法进行外固定已成为一种极佳的替代方案，特别是对于复杂骨折类型。本研究着重评估使用伊里扎洛夫外固定器治疗Schatzker V型胫骨平台骨折的临床和放射学结果，突出其相较于传统方法的安全性、有效性及潜在优势。
一名38岁男性在道路交通事故后被送往急诊科，主诉左膝急性疼痛和压痛，症状持续12小时。影像学检查显示为左胫骨平台骨折，分类为Schatzker V型。鉴于骨折的复杂性，选择伊里扎洛夫外固定器作为治疗方法。该手术旨在实现稳定固定，同时尽量减少软组织损伤，促进早期活动，并降低并发症风险。
伊里扎洛夫技术被证明是治疗Schatzker V型近端胫骨骨折的一种安全有效的治疗选择。其微创性质与低发病率相关，使其成为传统ORIF的可靠替代方法，尤其是在复杂病例中。临床和放射学评估证实了令人满意的结果，强化了伊里扎洛夫方法在复杂胫骨平台骨折中的实用性。
