BACKGROUND: Isolated dislocation of the ankle with grade III open @entity174 has been scarcely reported. These @entity3681 usually involved mortise @entity174 , complete dislocation of the tibial astragaloid joint, capsuloligamentous structure disruption, and severe soft-tissue damage. There is no well-recognized regimen that would result in desirable outcomes. METHODS: Sixteen @entity1 with grade III open @entity1171 were treated immediately with bioabsorbable implants and an external fixator between January 2003 and June 2007. According to the classification system of Gustilo and Anderson, five @entity1 were grade IIIA, seven were grade IIIB, and four were grade IIIC. Surgical interventions included combined internal fixation with bioabsorbable screws/rods and external fixation. RESULTS: @entity1 underwent clinical and radiologic examination at an average of 18.1 months after surgery. Outcomes were excellent in seven @entity1 (three IIIA, three IIIB, and one IIIC), good in four (one IIIA, two IIIB, and one IIIC), fair in three (one IIIA, one IIIB, and one IIIC), and poor in two (one IIIB, and one IIIC). In the two @entity1 with poor outcomes, @entity79 and cartilage exfoliating in the distal tibia were found during surgery. Painful @entity571 in the ankle was discovered 2 years after surgery. Another case had pin tract infections in the external fixator 3 months after surgery. There was no case of late deep @entity281 . CONCLUSIONS: It may be a reasonable and desirable option that bioabsorbable implants combined with an external fixator be applied for treatment of severe open @entity1171 .

Management of grade III open XXXX : combined internal fixation with bioabsorbable screws/rods and external fixation.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity571 :: ('MESH:D010003', 'Disease') :: ['osteoarthritis'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity3681 :: ('MESH:D016512', 'Disease') :: ['ankle injuries'] @entity1171 :: ('MESH:D064386', 'Disease') :: ['dislocated ankle fractures'] @entity79 :: ('MESH:D001847', 'Disease') :: ['bone defect'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection']
@entity1171 :: (MESH:D064386,Disease) :: ['dislocated ankle fractures']
