[Treatment of XXXX through trans-fibular anterior-lateral approach].

@entity1 @entity397 @entity174
OBJECTIVE: To explore the methods and therapeutic effects of trans-fibular anterior-lateral approach combined with external fixation in the treatment of @entity174 . METHODS: From 2007 to 2010,9 @entity1 including 7 males and 2 females with the mean age of 40 years(ranging from 29 to 51 years). All @entity1 received internal fixation of fibula after debridement on the first phase, external fixator were used to fix tibia across ankle joint, and removed after successful skin graft; The second phase tibia was used to fix through the lateral incision used in phase I. Early functional exercise was encouraged ,the union condition and functional results of the ankle joint was evealuated. The criteria of the AOFAS Foot and Ankle Surgery was used to evaluate the effects. RESULTS: All @entity1 were followed up,and the duration ranged for 8 to 37 months(averaged 21 months). Nine @entity1 were achieved bony union, the average healing time was 24 weeks. No plate @entity397 was found. According to the AOFAS Foot and Ankle Surgery evaluation system, 3 cases got excellent results, 4 good cases and 2 fair. CONCLUSION: Trans-fibular anterior-lateral approach combined with external fixation for @entity174 can receive satisfactory reset, debond ankle joint eralier and imporove the clinical effects.
