Tibial Plateau FractureTPFNCT07773402
Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients With Schatzker Type V and VI Tibial Plateau Fractures
A study testing Hybrid Ilizarov Fixation and Locking Plate Fixation in people with Tibial Plateau Fracture, run by Prof. Sajjad Hussain Goraya at 1 site in Pakistan.
Trial summary
This comparative clinical study will evaluate and compare the functional outcomes of patients with Schatzker type V and VI tibial plateau fractures treated using either the locking plate technique or the hybrid Ilizarov technique. Functional outcome will primarily be assessed using the Rasmussen Knee Functional Score. Read more about this study
- Who is it for?
- Ages 25 to 50 years
- Conditions the study is for
- Tibial Plateau Fracture
- What is being tested?
- Hybrid Ilizarov Fixation and Locking Plate Fixation
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 78 participants
- Where
- 1 sitePakistan
- Study dates
- 16 Aug 2026to 16 Nov 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients of either sex.
- Age between 25 and 50 years.
- Patients presenting within 2 weeks of sustaining the fracture.
- Patients diagnosed with complex tibial plateau fractures classified as Schatzker type V or VI.
- Patients willing to participate in the study.
- Patients providing written informed consent.
Who cannot join
- Associated ipsilateral limb fractures.
- Pathological fracture of the tibia.
- Associated major organ injuries.
- Psychiatric illness that may interfere with participation or outcome assessment.
- Refusal to provide informed consent.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Jinnah Hospital Lahore
Lahore, Punjab Province, 54000
Sajjad Hussain, 0333 4077389, muntahaazeem9@gmail.com
Montiha Azeem, muntahaazeem9@gmail.com
About this study
This comparative clinical study will evaluate and compare the functional outcomes of patients with Schatzker type V and VI tibial plateau fractures treated using either the locking plate technique or the hybrid Ilizarov technique. Functional outcome will primarily be assessed using the Rasmussen Knee Functional Score. Fracture healing, time to union, non-union, delayed union, and infection will also be assessed and compared between the two treatment groups.
Read the detailed description
Complex tibial plateau fractures, particularly Schatzker type V and VI fractures, are associated with substantial articular and metaphyseal injury and may present challenges in achieving satisfactory fracture reduction, stable fixation, soft-tissue preservation, and functional recovery.
The present comparative study will be conducted in the Orthopedic Department of Jinnah Hospital, Lahore. A total of 78 patients meeting the eligibility criteria will be recruited. Participants will be assigned to one of two treatment groups: Group A will undergo fixation using the hybrid Ilizarov technique, while Group B will undergo fixation using a locking plate technique.
Patients will undergo clinical and radiological assessment during follow-up. Functional outcome will be assessed using the Rasmussen Knee Functional Score. Radiographs will be obtained at regular follow-up intervals to evaluate fracture healing and union. Postoperative complications, including infection and non-union, will be documented.
The study will compare functional outcomes and fracture-healing outcomes between the two treatment techniques.
- Conditions
- Tibial Plateau Fracture
- Being tested
- Hybrid Ilizarov Fixation, Locking Plate Fixation
- Keywords
- Tibial plateau fracture, Schatzker type V, Schatzker type VI
- Medical subject headings
- Tibial Plateau Fractures
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Hybrid Ilizarov FixationProcedure or surgery
Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and fixation using a hybrid Ilizarov external fixation system under C-arm fluoroscopic guidance. Closed or minimally open reduction will be performed as appropriate. The construct will consist of a hybrid Ilizarov C-ring with appropriately tensioned Kirschner wires and Schanz screws. Additional wires or fixation components may be used when required to achieve adequate fracture stability and alignment. Bone graft or bone substitute may be used when clinically indicated.
Locking Plate FixationProcedure or surgery
Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and internal fixation using a locking compression plate under C-arm fluoroscopic guidance. The appropriate surgical approach and medial and/or lateral plate configuration will be selected according to fracture morphology, comminution, and stability. Bone graft or bone substitute may be used when clinically indicated. Postoperative rehabilitation will include early knee range-of-motion exercises, non-weight-bearing ambulation initially, and progressive weight-bearing according to clinical and radiological fracture healing.
| Study group | Role | What they receive |
|---|---|---|
| Hybrid Ilizarov Technique | Experimental | Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and fixation using a hybrid Ilizarov external fixation technique. Closed or minimally open reduction will be performed under C-arm fluoroscopic guidance, followed by application of a hybrid Ilizarov frame using tensioned Kirschner wires and Schanz screws. Bone graft or bone substitute may be used when clinically indicated. Receives: Procedure: Hybrid Ilizarov Fixation |
| Locking Plate Technique | Active comparator | Patients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and internal fixation using a locking compression plate under C-arm fluoroscopic guidance. Appropriate medial and/or lateral plate fixation will be performed according to fracture configuration and stability. Bone grafting may be used when clinically indicated. Receives: Procedure: Locking Plate Fixation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rasmussen Knee Functional Score
Functional outcome will be assessed using the Rasmussen Knee Functional Score at the final postoperative assessment. Scores will be categorized as excellent (27-30), good (20-26), fair (10-19), or poor (6-9). The score will be compared between patients treated with hybrid Ilizarov fixation and those treated with locking plate fixation.
Measured: 8 weeks and 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Aug 2026
- Study start16 Aug 2026 (estimated)
- Primary completion16 Nov 2026 (estimated)
- Study completion16 Nov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Tibial Plateau FractureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 78 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Prof. Sajjad Hussain Goraya
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Prof. Sajjad Hussain Goraya, Allama Iqbal Medical College
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07773402
- Sponsor's protocol ID
- ERB196/4/06-11-2025/AIMC/JHL
- Acronym
- TPF
- Status last verified
- Aug 2026
- First submitted
- 15 Aug 2026
- Last updated
- 19 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Functional Outcome Between Locking Plate Technique Versus Hybrid Ilizarov Technique in Patients With Schatzker Type V and VI Tibial Plateau Fractures
- ClinicalTrials.gov ID
- NCT07773402
- Acronym / sponsor ID
- TPF / ERB196/4/06-11-2025/AIMC/JHL
- Conditions
- Tibial Plateau Fracture
- Keywords
- Tibial plateau fracture, Schatzker type V, Schatzker type VI
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 78 participants (estimated)
- Lead sponsor
- Prof. Sajjad Hussain GorayaUniversity, hospital or other
- Study start
- 16 Aug 2026 (estimated)
- Primary completion
- 16 Nov 2026 (estimated)
- Study completion
- 16 Nov 2026 (estimated)
- First posted
- 19 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This comparative clinical study will evaluate and compare the functional outcomes of patients with Schatzker type V and VI tibial plateau fractures treated using either the locking plate technique or the hybrid Ilizarov technique. Functional outcome will primarily be assessed using the Rasmussen Knee Functional Score. Fracture healing, time to union, non-union, delayed union, and infection will also be assessed and compared between the two treatment groups.
Detailed description
Complex tibial plateau fractures, particularly Schatzker type V and VI fractures, are associated with substantial articular and metaphyseal injury and may present challenges in achieving satisfactory fracture reduction, stable fixation, soft-tissue preservation, and functional recovery.
The present comparative study will be conducted in the Orthopedic Department of Jinnah Hospital, Lahore. A total of 78 patients meeting the eligibility criteria will be recruited. Participants will be assigned to one of two treatment groups: Group A will undergo fixation using the hybrid Ilizarov technique, while Group B will undergo fixation using a locking plate technique.
Patients will undergo clinical and radiological assessment during follow-up. Functional outcome will be assessed using the Rasmussen Knee Functional Score. Radiographs will be obtained at regular follow-up intervals to evaluate fracture healing and union. Postoperative complications, including infection and non-union, will be documented.
The study will compare functional outcomes and fracture-healing outcomes between the two treatment techniques.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Hybrid Ilizarov Technique | Experimental | Procedure: Hybrid Ilizarov FixationPatients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and fixation using a hybrid Ilizarov external fixation technique. Closed or minimally open reduction will be performed under C-arm fluoroscopic guidance, followed by application of a hybrid Ilizarov frame using tensioned Kirschner wires and Schanz screws. Bone graft or bone substitute may be used when clinically indicated. |
| Locking Plate Technique | Active comparator | Procedure: Locking Plate FixationPatients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and internal fixation using a locking compression plate under C-arm fluoroscopic guidance. Appropriate medial and/or lateral plate fixation will be performed according to fracture configuration and stability. Bone grafting may be used when clinically indicated. |
Who may qualify
- Ages
- 25 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Patients of either sex.
- Age between 25 and 50 years.
- Patients presenting within 2 weeks of sustaining the fracture.
- Patients diagnosed with complex tibial plateau fractures classified as Schatzker type V or VI.
- Patients willing to participate in the study.
Key exclusion criteria (5 listed)
- Associated ipsilateral limb fractures.
- Pathological fracture of the tibia.
- Associated major organ injuries.
- Psychiatric illness that may interfere with participation or outcome assessment.
- Refusal to provide informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Hybrid Ilizarov FixationPatients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and fixation using a hybrid Ilizarov external fixation system under C-arm fluoroscopic guidance. Closed or minimally open reduction will be performed as appropriate. The construct will consist of a hybrid Ilizarov C-ring with appropriately tensioned Kirschner wires and Schanz screws. Additional wires or fixation components may be used when required to achieve adequate fracture stability and alignment. Bone graft or bone substitute may be used when clinically indicated. | Procedure or surgery | Hybrid Ilizarov Technique |
| Locking Plate FixationPatients with Schatzker type V or VI tibial plateau fractures will undergo fracture reduction and internal fixation using a locking compression plate under C-arm fluoroscopic guidance. The appropriate surgical approach and medial and/or lateral plate configuration will be selected according to fracture morphology, comminution, and stability. Bone graft or bone substitute may be used when clinically indicated. Postoperative rehabilitation will include early knee range-of-motion exercises, non-weight-bearing ambulation initially, and progressive weight-bearing according to clinical and radiological fracture healing. | Procedure or surgery | Locking Plate Technique |
Primary outcome
Rasmussen Knee Functional Score
Time frame: 8 weeks and 16 weeks
Functional outcome will be assessed using the Rasmussen Knee Functional Score at the final postoperative assessment. Scores will be categorized as excellent (27-30), good (20-26), fair (10-19), or poor (6-9). The score will be compared between patients treated with hybrid Ilizarov fixation and those treated with locking plate fixation.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Aug 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Hybrid Ilizarov Fixation and Locking Plate Fixation in people with Tibial Plateau Fracture, run by Prof. Sajjad Hussain Goraya at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 19 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sajjad Hussain (0333 4077389, prof.sajjadhussain@aimc.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Rasmussen Knee Functional Score (time frame: 8 weeks and 16 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Aug 2026.