Management of displaced intraarticular XXXX by using external ring fixation, minimally invasive open reduction, and early weightbearing.

@entity1 @entity174 @entity8546 @entity272 @entity281 @entity7334 @entity158 @entity2720
Twenty-three @entity1 with 25 @entity7334 of the @entity8546 were treated during a 7-year period with minimally invasive open reduction of the posterior facet, external ring fixation, and early weightbearing. Skeletal traction and a minimally invasive lateral approach were used to elevate the posterior facet. Percutaneous wires, which were secured to an external ring fixator, were used to stabilize the reduction. The @entity1 were encouraged to bear weight on the first postoperative day and during the time the fixator was in place. A retrospective chart review was performed and the Maryland Foot Score was used. The @entity1 ranged in age from 22 to 68 years (average, 43.8 years). Using the Sanders computed tomography classification, there were 17 (68%) type II, 6 (24%) type III, and 2 (8%) type IV @entity174 patterns. Thirty-two percent of the @entity1 were rated excellent, 60% rated good, and 8% rated fair. @entity2720 was >50% of the uninjured foot in 21 of 25 @entity174 . Eight of 23 @entity1 (35%) experienced @entity158 in the rear foot, whereas 4 (17%) complained of @entity158 in the plantar heel. Few complications were observed, with the most common being superficial @entity272 at a wire insertion site. No @entity281 developed. The average length of the treatment period with the fixator was 6.6 weeks (range, 5 to 9 weeks). The range of follow-up was 2 to 7 years. The results with this technique indicate that it is a viable alternative to traditional methods of open reduction and internal fixation for the management of @entity7334 of the @entity8546 .
