Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients With Schatzker Type V and VI Tibial Plateau Fractures

Complex tibial plateau fractures, particularly Schatzker type V and VI fractures, are associated with substantial articular and metaphyseal injury and may present challenges in achieving satisfactory fracture reduction, stable fixation, soft-tissue preservation, and functional recovery.

The present comparative study will be conducted in the Orthopedic Department of Jinnah Hospital, Lahore. A total of 78 patients meeting the eligibility criteria will be recruited. Participants will be assigned to one of two treatment groups: Group A will undergo fixation using the hybrid Ilizarov technique, while Group B will undergo fixation using a locking plate technique.

Patients will undergo clinical and radiological assessment during follow-up. Functional outcome will be assessed using the Rasmussen Knee Functional Score. Radiographs will be obtained at regular follow-up intervals to evaluate fracture healing and union. Postoperative complications, including infection and non-union, will be documented.

The study will compare functional outcomes and fracture-healing outcomes between the two treatment techniques.

Inclusion criteria

• Patients of either sex.
• Age between 25 and 50 years.
• Patients presenting within 2 weeks of sustaining the fracture.
• Patients diagnosed with complex tibial plateau fractures classified as Schatzker type V or VI.
• Patients willing to participate in the study.
• Patients providing written informed consent.

Exclusion criteria

• Associated ipsilateral limb fractures.
• Pathological fracture of the tibia.
• Associated major organ injuries.
• Psychiatric illness that may interfere with participation or outcome assessment.
• Refusal to provide informed consent.