[Over-articular external fixator combined with limited internal fixation for the treatment of high-energy XXXX ].

@entity1 @entity174 @entity4034 @entity281 @entity158 @entity1317
OBJECTIVE: To study clinical effects of the over-articular external fixator combined with limited internal fixation for the treatment of @entity174 caused by high energy. METHODS: From September 2003 to April 2011, 36 @entity1 with @entity174 caused by high energy were treated with the over-articular external fixator combined with limited internal fixator. There were 25 males and 11 females, ranging in age from 16 to 72 years old,with an average of 38 years old. The diagnoses of all @entity1 were determined by conventional X-ray examination or three-dimensional spiral CT examination. The AOFAS scoring criteria was used to evaluate the therapeutic effects. The @entity1 with comminuted @entity174 were treated with screw or Kirschner wire fixation without uncovering periost so as to enhance stability between @entity174 end and bone blocks,followed by the fixation with over-articular external fixators. RESULTS: All the @entity1 were followed up, and the duration ranged from 4 to 27 months, with an average of 13 months. Thirty-two @entity1 got wound healing at the first stage. And the bone union duration ranged from 2 to 6 months, with a mean of 3 months. According to the AOFAS ankle-hindfoot subjective scoring standard, 13 @entity1 got an excellent result, 20 good and 3 fair, with an score of 88.2 +/- 3.6. Twelve @entity1 had @entity281 at pinhole, 5 @entity1 had @entity158 . One @entity1 had the fixator broken induced by over loading, who was cured after treatment. There were no complications such as nerve or @entity1317 , or @entity4034 . CONCLUSION: The over-articular external fixation combined with limited internal fixation for the treatment of @entity174 caused by high energy is an ideal method, which has such advantages as reliable fixation, simple operation, coincidence with principles of biomechanical fixation, and benefit for @entity174 healing.
