Objectives: We aimed to report outcomes of Bicondylar Tibial Plateau (BTP) fractures treated using Ilizarov fixation, and identify risk factors for developing post-traumatic radiographic osteoarthritis (ROA).

Methods: Retrospective study of 80 BTP fractures managed with Ilizarov fixation.

Results: All fractures united, with only 3 cases of deep infection. ROA was evident in 12.5% at average 13 months post-injury. Increased tibial articular-widening associated with risk of developing ROA (p = 0.02).

Conclusion: Ilizarov fixation is safe and reliable in the management of BTP fractures. Restoration of tibial articular-width at fixation associated with reduced risk of developing radiographic OA.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325158PMC
http://dx.doi.org/10.1016/j.jor.2018.12.016DOI Listing

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