الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Introduction:. Intra-articular fractures of the proximal portion of the tibia, that called ’plateau fractures’, are serious, complex injuries difficult to treat. Tibial plateau fractures are common injuries and usually occur in an older population after minor trauma and in a younger age group sustaining high energy trauma. According to Schatzker’s classification, he divided tibial plateau fractures into six types. The first three types (I, II, and III) are typically the result of low-energy injury. The second three types (IV, V, and VI) are typically the result of high-energy injury. Types V and VI are more challenging fractures for the Orthopaedic Surgeon to manage not only for the osseous damage but also for the restoration and preservation of the soft tissue envelope as well. These injuries lead to serious complications as severe soft tissue compromise requiring coverage procedures, lower limb compartmental syndrome, peroneal nerve injury, vascular injury, DVT, swelling, wound-healing problems, knee stiffness, knee instability, angular deformities, late collapse, Mal-union and Osteoarthrosis. The Ilizarov circular ring fixator “a minimal invasive technique” provides a method for closed reduction and fixation and solves many of the problems encountered in management of such fractures mainly with soft tissue. This construct can provide a valuable opportunity for high-energy fractures with a gross intra-articular comminution and permits early joint mobilization, enhances cartilage regeneration and joint remodeling, which decreases the risk of joint stiffness The aim of work: Evaluate the net results of the patients who had tibial plateau fractures and treated by Ilizarov External Fixator (within 4 to 6 months post fixation) in Mansoura emergency hospital from period June 2017 to August 2018. Research Plan: Prospective study and evaluate the net results according to Knee society score of the patients admitted to ER with tibial plateau fracture. Results: In this study 26 cases were treated by ilizarov external fixator and evaluated by knee society score, there were 14 patients showed excellent results, 6 cases showed good results, one case showed fair result and 5 cases showed poor results. The complication in this study was limited, as there were 6 cases had stiff knee postoperative and 4 cases had deep infection that was treated by based culture antibiotics Conclusion: In general, this study emphasizes the clinical success and low morbidity associated with the Ilizarov method. The technique is well suited to treat complex tibial plateau fractures where comminution would require extensive dissection and internal fixation with plates and screws, leading to further compromise of the soft tissue. The results of this study corroborate those of several predecessors. Decreased incidence of soft tissue complications, early range of motion, early weight bearing, and good functional recovery all compare favorably with other reported results and substantiate the recommendation that external fixation should be the treatment of choice for such injuries.