Evaluation of Effectiveness and Efficacy of Hybrid External Fixator in Fracture of Proximal Tibia With Compromised Skin Condition

Background: the fracture of proximal tibia are now commonly seen lower limb injury due to increased motor vehicle accident. most of these fracture are communited with compromised skin condition such as massive swelling,blister,abrasion, orbruises. thereare limited surgical optionto treat these type of fracture. here we evaluated the effectiveness and efficacy of hybrid external fixatorto treat these type of fracture. MATERIAL AND METHOD: total 25 pt were treated between April 2013 to may 2016.15 pt were male and 10 pt were female age range from 20-55 yrs .all pt had injury b\c of motor vehicle accident. And operated between 5-7days of injury. For initial period all pt treated by elevation over BB splint or 2-3 pillow, ice fomentation or lower tibial pin traction. RESULTS:the overall results of the study were   good.18 pt had very good result, 4 pt had good result and 3 had poor result. Complication: the complication includes superficial pin tract infection, common peroneal nerve palsy, and wire loosening Conclusion:the hybrid external fixator method is a very good method of fixation of fracture of proximal tibia with compromised skin condition such as massive swelling,blister,and  abrasionor bruises .this method provide good fixation and allow active knee movement from early post op period.