Introduction. Open tibial fractures are associated with increased risk of complications, particularly a higher risk of infections and decreased functional outcome. Objectives. To evaluate the incidence of complications and the functional outcomes after managing open tibial fractures with circular fine-wire fixators. Methods. Retrospective review of 35 open tibial fractures treated with circular fine-wire fixators {Ilizarov and Taylor Spatial Frame (TSF)} in a teaching hospital. Patients were reviewed with x rays and clinical outcomes measured using Iowa Knee Score questionnaire,