DOI: https://doi.org/10.36347/sasjs.2025.v11i12.008

Pages: 1107-1113

Introduction: Proximal tibial fractures are severe injuries that highly compromise knee function. Complex fractures pose a therapeutic challenge, as they require both bone healing and preservation of joint function. The aim of our study was to describe the epidemiological, therapeutic, and prognostic aspects of complex proximal tibia fractures treated with Ilizarov external fixation. Patients and Method: This was a descriptive, cross-sectional retrospective study carried out in the orthopaedics and traumatology department of Brazzaville University Hospital between January 2022 and December 2024. It involved patients with complex fractures of the proximal tibia with damaged skin, treated with Ilizarov external fixators and following up. Knee X-rays were utilized to analyse anatomical results, and the Merle d’Aubigné and Mazes score was used for functional assessment. Results: Six male patients were included, with a mean age of 36.67 years (range: 19–58 years). The fractures were classified as Schatzker V in 1 case and Schatzker VI in 5 cases. The fracture was opened in 33.33% of cases and closed with dermabrasion in 66.67% of cases. The average time to treatment was 7.16 days. The Ilizarov external fixator was used alone in 5 cases and in combination with epiphyseal screw fixation in 1 case. The short- and medium-term postoperative outcomes were uncomplicated, with all fractures healing. At the last follow-up, knee function was rated as very good or good in 4 cases and poor in 1 case. Conclusion: The Ilizarov external fixator is an excellent alternative in the surgical treatment of complex fractures of the proximal tibia. It authorizes secure stabilization without interrupting knee function and allows early healing of skin injuries.