OBJECTIVE: To compare the clinical effects and safety of dynamic external fixtor combined with limited internal fixation and cross K-wires fixation for the treatment of close Pilon @entity174 of the proximal interphalangeal joint. METHODS: From June 2012 to June 2014, totally 41 @entity1 (45 fingers) with close interphalangeal joint Pilon @entity174 were treated by dynamic external fixtor combined with limited internal fixation or cross K-wires fixation, and all the @entity1 were followed up. In the dynamic external fixtor combined with limited internal fixation group (group A), there were 21 @entity1 with 22 fingers, including 12 males and 9 females, with an average of (30.6  5.6) years old. In the cross K-wires fixation group (group B), there were 20 @entity1 with 23 fingers, including 11 males and 9 females, with an average of (30.1  5.3) years old. Regular re-examination of X-ray was performed to evaluate the active range of joint motion, @entity174 healing time, infection rate and @entity282 . RESULTS: According to the evaluation criteria of upper extremity function issued by the Hand Surgery Society of Chinese Medical Association, the excellent and good cases of group A was up to 19 and 13 for group B. The evaluation results has significant differences (Z=2.558, P=0.011). The excellent and good rate of group A was obviously higher than that of group B. The average bone union time of group A was (7.9  2.1) weeks, and (8.1  2.3) weeks for group B. There was no significant difference on the mean healing time (t=-0.304, P=0.762). The infection fingers of group A was 5, and 1 for group B. The difference between the results was statistically significant (  2=3.287, P<0.05). The infection rate of group A was higher than that of group B. The @entity282 was evaluated by VAS score, the mean score was 0.18  0.50 in group A, and 0.65  0.88 in group B. The difference between the results was statistically significant (t=-2.207, P<0.05). The @entity282 was lower than that of group B. CONCLUSION: Dynamic external fixtor combined with limited internal fixation is a reliable and effective method to treat Pilon @entity174 of the proximal interphalangeal joint. It allows early postoperative functional rehabilitation and restores the joint function.

[Case control study on therapeutic effects of dynamic external fixtor combined with limited internal fixation and cross K-wires fixation for the treatment of Pilon XXXX of the proximal interphalangeal joint].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative joint motion pain'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture']
@entity174 :: (MESH:D050723,Disease) :: ['fractures']
