BACKGROUNDTibia is the most frequent site of an open fracture, with incidence ranging from 49.4% to 63.2%. Their treatment, prognosis, and outcome are mainly determined by the mechanism of injury, degree of comminution, soft tissue injury and displacement. The best mode of treatment is elusive in high-energy tibial fractures. Ilizarov fixator was chosen to fix those fractures that produced high rate of complications with most conventional methods of fixation.