Functional Analysis of Proximal Tibia Fracture Treated by Hybrid External Fixator

Background: Proximal tibial fractures, often from high-energy trauma, involve intra-articular damage, comminution, and soft tissue compromise, posing management challenges. Hybrid external fixation, combining Ilizarov and AO systems, offers stable fixation, early mobilization, and adaptability. This study evaluates its effectiveness in functional recovery, soft tissue healing, and fracture union. Aim: This study evaluates hybrid external fixator efficacy in proximal tibial fractures, focusing on function, healing, union, radiology, biomechanics, and indigenous clamps. Results: Among 30 patients (mean age 42.36 ± 6.67), 46.67% were aged 30–40, and 53.33% were males. Schatzker type VI predominated (60%), with Gustilo-Anderson grade IIIA/IIIB equally common (43.33%). Bone grafting (33.33%) and debridement with skin grafting (30%) were frequent procedures. Methods: On admission, patients received ABC assessment, POP splint immobilization, and radiographs with CT when required. Fractures were classified using Schatzker and Gustilo-Anderson systems. Soft tissues, neurovascular status, and compartment syndrome risk were evaluated. All patients underwent pre-anesthetic investigations and surgery under spinal or general anesthesia. Conclusion: Hybrid external fixation proved reliable for complex proximal tibia fractures, predominantly from road traffic accidents. It ensured stable fixation, early mobilization, and satisfactory functional recovery. Despite complications like delayed union and pin tract infections, outcomes were favorable, highlighting its effectiveness across diverse patient groups.