الفهرس 
IntroductionOnly 14 pages are availabe for public view
Abstract
Tibial plateau fractures are challenging and technically demanding fractures to treat, even by experienced trauma surgeons. Treatment of complex tibial plateau fractures remains difficult. The soft tissue component to the injury necessitates careful timing of surgical fixation in order to minimize wound complications. Being aware of the posterior coronal shear fractures and utilizing the appropriate surgical approach will allow the treating surgeon to apply biomechanically well positioned fixation in more complex injury patterns.
Moreover EF is associated with shorter length of hospital stay and thus it is cost effective, especially in older patients with multiple comorbidities .Our results shows statistically significant increased incidence of postoperative infection and osteoarthritis of knee joint in cases underwent external fixation.
In conclusion, ORIF has less incidence of complications than external fixation in cases of bicondylar tibial plateau fractures. Although orthopedic surgeons should be mindful the complications and the subsequence procedures after surgery.both external fixation and ORIF are acceptable strategies in managing complex tibial plateau fractures.