Background: Complex proximal tibial fractures caused by high energy trauma classified as Schatzker type V and VI pose a

management challenge due to associated extensive soft tissue damage.Though open reduction and dual plating is considered a

gold standard treatment option in these fractures but associated with wound breakdown and infection.

Aim: To evaluate the radiological and functional outcomes of percutaneous hybrid fixator as alternative treatment option in these

fractures.

Methodology: This study designed as prospective case series was conducted in Sheikh Zayed Hospital Lahore between May

2019 to May 2021.Twenty four patients fulfilling the inclusion criteria were operated using a hybrid external fixator in schatzkerV

and VI tibial plateu fractures with compromised soft tissue.On follow upradiological and functional outcomes were being

evaluated.

Results: At Six months follow up after surgery Rasmussen knee score was graded as excellent in 13, good in 8, fair in 3 and

poor in 0 patients.In radiological outcome mean time to bony union was 13.5 weeks.One case of varus malunion and no case

case of non union was observed in our study.

Conclusion: Hybrid external fixator is a well found fixation alternative as compared to conventional open reduction and internal

fixation in Complex tibial plateau fractures with extensive soft tissue disruption achieving satisfactory radiological and functional

outcomes.

Keywords: Schatzker, Tibial plateau, Hybrid fixator.